CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Washakie Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,352
Cash Discount Price: $1,044
vs. Medicare Baseline: 3.79x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Washakie Medical Center is $1,352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,044. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.79x the Medicare baseline. Located in 400 South 15Th Street, Worland, WY.

Cash / Self-Pay

$1,044

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,352

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $1,044 (293%)

Insurance Median: $1,352 (379%)

Cash: $1,044 (293% of Medicare)

Ins. Median: $1,352 (379% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 379% of the Medicare baseline (a markup of 279%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Banner Health	$113 - $1,352	32%
Humana	$113 - $1,352	32%
Medica	$113 - $2,672	32%
Triwest Healthcare Alliance Corp - Va Ccn	$113 - $1,352	32%
UnitedHealthcare	$113 - $2,582	32%
Interwest Health	$115 - $2,760	32%
Prime Health Services	$115 - $2,760	32%
Blue Cross Blue Shield	$223 - $2,675	63%
First Choice Health Network	$223 - $2,675	63%
Hue Health, Inc	$223 - $2,675	63%
Imagine Health, Llc (Wka Wise Provider Network)	$223 - $2,675	63%
Mountain Health Cooperative (Co-Op)	$223 - $2,675	63%
Coventry	$226 - $2,703	63%
Cigna	$228 - $2,732	64%
Multiplan	$228 - $2,732	64%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,044.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Washakie Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.