CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Sublette County Health

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$425
about 1.2× the $356 Medicare rate · typically $202–$1,021
modeled estimate · not a bill or quote
What this hospital charges insurers
$200
Below the fair price — a good deal
about $225 under the fair price · 0.6× Medicare
Medicare pays $356 Fair price $425 This hospital $200 Cash price $3,749 Hospital's list price $4,166

How we calculate the fair BaseRate →

How this hospital compares to other WY hospitals

A typical price — 3 charge more and 3 charge less, among the 7 WY hospitals compared.

Cheapest $104 Priciest $564

Black dot = this hospital, among the 7 WY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (with and without contrast) is about $425 (about 1.2× the $356 Medicare rate). Sublette County Health charges insurers about $200, or about $3,749 in cash — below the fair price — a good deal. Located in Pinedale, WY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Cigna UnitedHealthcareAetnaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $3,124 876%
Cignamajor $200 56%
+ 1 smaller / regional plan $3,952
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 615 E Hennick St, Pinedale, WY 82941
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL