CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Community Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,703
Cash Discount Price: $1,935
vs. Medicare Baseline: 7.58x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Community Hospital is $2,703. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,935. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.58x the Medicare baseline. Located in 2000 Campbell Drive, Torrington, WY.

Cash / Self-Pay

$1,935

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,703

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: $1,935 (543%)

Insurance Median: $2,703 (758%)

Cash: $1,935 (543% of Medicare)

Ins. Median: $2,703 (758% 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 758% of the Medicare baseline (a markup of 658%). 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	$1,239	348%
Cigna	$1,239 - $2,732	348%
Humana	$1,239	348%
Naphcare	$1,239	348%
Triwest Healthcare Alliance Corp - Va Ccn	$1,239	348%
UnitedHealthcare	$1,239 - $2,675	348%
Interwest Health	$1,264 - $2,760	355%
Prime Health Services	$1,264 - $2,760	355%
Medica	$1,267 - $2,672	355%
Blue Cross Blue Shield	$2,675	750%
First Choice Health Network	$2,675	750%
Hue Health, Inc	$2,675	750%
Imagine Health, Llc (Wka Wise Provider Network)	$2,675	750%
Mountain Health Cooperative (Co-Op)	$2,675	750%
Coventry	$2,703	758%
First Health	$2,703	758%
Midlands Choice	$2,703	758%
Multiplan	$2,732	766%

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 $1,935.
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 Community Hospital 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.