CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $538
  • Cash Discount Price: $13,124
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Southern Hills Hospital and Medical Center is $538. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,124. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.51x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$13,124

Average discount available for prompt cash payment at this facility.

Insurance Median
$538

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: $13,124 (3682%)
Insurance Median: $538 (151%)
Cash: $13,124 (3682% of Medicare)
Ins. Median: $538 (151% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Blue Cross Blue Shield $107 - $415 30%
Molina Healthcare $119 - $431 33%
Sierra Hpn $119 - $414 33%
Community Care Health $119 - $414 33%
Ambetter / Centene $125 - $2,887 35%
United $267 - $2,997 75%
Sierra $639 179%
Cigna $851 - $1,915 239%
Aetna $1,303 - $1,308 366%
Legacy Provider Network $2,476 695%
Corvel $2,613 - $2,762 733%
Olympus Medsave USA $2,751 - $10,312 772%
Select Health $2,970 - $3,169 833%
Prominence Healthfirst $4,125 1157%
Cmn Global $5,775 1620%
Evernorth $6,874 1929%
Nv Health & Welfare Trust $8,249 2314%
Multiplan $8,662 - $10,037 2430%
First Health $9,074 - $10,999 2546%
Medcare International $10,312 2893%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals