MRI, brain (with and without contrast)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 70553 (CPT)
- CPT Billing Code: 70553
- Insurance Median: $7,059
- Cash Discount Price: $9,412
- vs. Medicare Baseline: 19.80x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1980% of the Medicare baseline (a markup of 1880%). 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.
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 | $5,647 | 1584% |
| Americas Choice Provider Network | $6,588 | 1848% |
| Usa Managed Care Organization | $7,059 | 1980% |
| Velocity | $7,059 | 1980% |
| Provider Network Of America | $7,059 | 1980% |
| Quiktrip Corporation | $7,059 | 1980% |
| Multiplan-Phcs | $7,530 | 2113% |
| Prime Health Services | $8,000 | 2244% |
| Medincrease | $8,471 | 2377% |
Consumer Guidance & Cost Commentary
For the MRI of the brain (with and without contrast) at the Rehabilitation Hospital Of Overland Park, the cash price is $9,412.00, which matches the facility's cash median. This rate is significantly higher than the state of Kansas average, reflecting the facility's specific pricing structure for this procedure. While commercial insurance carriers have negotiated rates ranging from $5,647 to $8,471 depending on the plan, these amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the insurance negotiated rate could result in higher out-of-pocket costs if the deductible has not yet been met. It is always recommended to ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as paying in full upfront can sometimes reduce the total amount owed.
The Medicare benchmark for this service is $356.43, which serves as a critical baseline for evaluating the facility's pricing markup. The facility's cash rate is approximately 19.8 times the Medicare amount, indicating a substantial difference between the federal cost basis and the commercial price. When reviewing your bill, ensure you receive an itemized statement rather than a summary bill, as hospitals may obscure individual charges under broad categories like "Laboratory" or "Pharmacy." If you receive a large bill, request a detailed line-by-line audit to identify any errors, double-billing, or unbundled codes that should be consolidated. Disputing billing mistakes should be done in writing to ensure the corrections are officially recorded and applied to your account.