CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Mercy St Francis Hospital
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $3,206
- Cash Discount Price: $2,315
- vs. Medicare Baseline: 8.99x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Mercy St Francis Hospital is $3,206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,315. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.99x the Medicare baseline. Located in 100 West Highway 60, Po Box 82, Mountain View, MO.
Cash / Self-Pay
$2,315
Average discount available for prompt cash payment at this facility.
Insurance Median
$3,206
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: $2,315 (649%)
Insurance Median: $3,206 (899%)
Cash: $2,315 (649% of Medicare)
Ins. Median: $3,206 (899% 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 899% of the Medicare baseline (a markup of 799%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $207 - $1,849 | 58% |
| Medicare (plans) | $333 - $1,272 | 93% |
| Blue Cross Blue Shield | $335 - $3,455 | 94% |
| UnitedHealthcare | $469 - $3,384 | 132% |
| Indian Health Service Contracted [320198] | $980 - $1,222 | 275% |
| Mercy Hospice Okc [20252] | $980 - $1,222 | 275% |
| Aetna | $980 - $3,170 | 275% |
| Elara Caring Aspire Hospice [20433] | $980 - $1,222 | 275% |
| Qual Choice Contracted [320325] | $980 - $1,222 | 275% |
| Mercy Mgd Behavioral Health Contracted [320259] | $980 - $1,222 | 275% |
| Dept of Veteran Affairs Contracted [320106] | $980 - $1,222 | 275% |
| Medical Associates Health Contracted [320444] | $980 - $1,222 | 275% |
| Cherokee Nation Health Serv Contracted [320066] | $980 - $1,222 | 275% |
| Pace of the Ozarks Contracted [320518] | $980 - $1,222 | 275% |
| Kindful Hospice [20434] | $980 - $1,222 | 275% |
| Cigna | $980 - $3,384 | 275% |
| Globalhealth Contracted [320145] | $980 - $1,222 | 275% |
| Halo Hcr Inc Hospice [20432] | $980 - $1,222 | 275% |
| Cross Timbers Hospice [20098] | $980 - $1,222 | 275% |
| Halo Hcr Inc Hospice Contracted [320432] | $980 - $1,222 | 275% |
| Kindful Hospice Contracted [320434] | $980 - $1,222 | 275% |
| Humana | $980 - $3,206 | 275% |
| Provider Partners Health Plans Contracted [320450] | $980 - $1,222 | 275% |
| Acentra Health Contracted [320527] | $980 | 275% |
| Tricare | $1,211 | 340% |
| Healthscope Contracted [320182] | $1,223 - $1,624 | 343% |
| Administrative Payor Contracted [320005] | $1,603 | 450% |
| Centivo Contracted [320505] | $1,614 - $2,066 | 453% |
| Novasys Contracted [320285] | $1,849 | 519% |
| Home State Health Plan Contracted [320187] | $1,849 | 519% |
| Ambetter / Centene | $1,849 | 519% |
| Preferred Health Plan Contracted [320522] | $2,315 | 649% |
| Healthlink Contracted [320179] | $2,315 - $3,384 | 649% |
| Workers Comp [20426] | $2,850 - $3,028 | 800% |
| Point C Contracted [320238] | $3,206 - $3,384 | 899% |
| Auxiant Contracted [320462] | $3,206 - $3,384 | 899% |
| United Medical Resources Contracted [320454] | $3,206 - $3,313 | 899% |
| Mercy Benefit Admin Contracted [320251] | $3,206 - $3,384 | 899% |
| Medica Contracted [320239] | $3,366 | 944% |
| Yuzu Health Contracted [320521] | $3,384 | 949% |
| First Health Contracted [320128] | $3,384 | 949% |
| Multiplan Contracted [320270] | $3,384 | 949% |
| Benefit Management Contracted [320052] | $3,384 | 949% |
| Ebms Contracted [320493] | $3,384 | 949% |
| Health Systems Inc Contracted [320174] | $3,384 | 949% |
| Private Health Care Systems Contracted [320320] | $3,384 | 949% |
| Edison Health Solutions Contracted [320502] | $3,384 | 949% |
| Reflect Health Contracted [320492] | $3,384 | 949% |
| Insurance System Inc Contracted [320465] | $3,384 | 949% |
| Imagine 360 Contracted [320494] | $3,384 | 949% |
| 90 Degree Benefits Contracted [320436] | $3,384 | 949% |
| Point C [20238] | $3,384 | 949% |
| USA Managed Care Org Contracted [320429] | $3,384 | 949% |
| Show-Me Health Administrators Contracted [320483] | $3,384 | 949% |
| Aither Health Contracted [320449] | $3,384 | 949% |
| Evolutions Health Care Contracted [320124] | $3,384 | 949% |