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MRI brain with and without contrast

CPT 70553 · negotiated-rate distribution across hospitals in IN

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Hospitals
20
Min
$232.74
Median
$232.74
Max
$4,118.09
Range multiplier
17.7×

By payer (43 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS6245$81.95$439.78$2,771.1233.8×
UnitedHealthcare783$59.48$232.74$842.2314.2×
Medicaid672$81.95$188.06$270.013.3×
mhs care connect636$81.95$188.06$270.013.3×
Aetna727$232.74$369.23$1,111.004.8×
Humana722$232.74$232.74$362.061.6×
Medicare Advantage720$232.74$232.74$365.651.6×
Medicare714$232.74$232.74$358.481.5×
patoka valley tier 1614$439.78$439.78$439.781.0×
patoka valley tier 2614$439.78$439.78$439.781.0×
Ambetter78$232.74$232.74$681.112.9×
Cigna18$336.35$551.38$888.922.6×
corizon66$232.74$232.74$232.741.0×
ascension complete mcr66$232.74$232.74$232.741.0×
encore exclusive66$439.78$439.78$439.781.0×
smarthealth ppo66$414.28$414.28$414.281.0×
personalized care66$232.74$232.74$232.741.0×
immergrun66$232.74$232.74$232.741.0×
CareSource66$232.74$232.74$232.741.0×
secure horizons-pacificare66$232.74$232.74$232.741.0×
smarthealth ppo/hdhp 2016100166$414.28$414.28$414.281.0×
WellCare12$358.48$358.48$358.481.0×
avmed exchange12$645.26$645.26$645.261.0×
bc advantage mcr replacement12$358.48$358.48$358.481.0×
Blue Cross Blue Shield12$358.48$358.48$358.481.0×
careplus mcr replacement12$365.65$365.65$365.651.0×
employer direct healthcare12$627.34$627.34$627.341.0×
Molina12$663.19$663.19$663.191.0×
occunet12$663.19$734.89$806.581.2×
Oscar Health12$573.57$573.57$573.571.0×
pace place12$358.48$358.48$358.481.0×
research study encore borland-groover12$358.48$358.48$358.481.0×
smarthealth12$501.87$501.87$501.871.0×
VA Health12$358.48$358.48$358.481.0×
90 degree benefits12$645.26$645.26$645.261.0×
velocity provider ppo network11$4,118.09$4,118.09$4,118.091.0×
haven hospice11$358.48$358.48$358.481.0×
community hospice11$358.48$358.48$358.481.0×
america's choice provider11$3,843.55$3,843.55$3,843.551.0×
prime health services11$4,667.16$4,667.16$4,667.161.0×
quik trip11$4,118.09$4,118.09$4,118.091.0×
usa managed care organization11$4,118.09$4,118.09$4,118.091.0×
Multiplan11$1,200.00$1,200.00$1,200.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Rehabilitation Hospital Of IndianaIndianapolisIN6$5,490.78$5,490.78$1,200.00$4,118.09$4,667.16
Ascension St. Vincent DunnBedfordIN23$2,402.50$888.93$336.35$369.23$1,111.00
Ascension St. Vincent WarrickBoonevilleIN20$3,627.00$2,176.20$59.48$232.74$2,526.21
Ascension St. Vincent JenningsNorth VernonIN20$4,149.00$2,489.40$81.95$232.74$2,771.12
Ascension St. Vincent WilliamsportWilliamsportIN20$5,144.00$3,086.40$59.48$232.74$2,752.04
Ascension St Vincent Seton SpecialtyIndianapolisIN20$81.95$232.74$842.23
St Vincent Seton Specialty Hosp-LafLafayetteIN20$81.95$232.74$842.23
St. Mary Medical Center Inc.HobartIN20$3,627.00$2,176.20$59.48$232.74$2,526.21
Dupont HospitalFort WayneIN0$5,305.00$2,387.25
Laporte HospitalLaporteIN0$4,628.51$2,499.40
Dukes Memorial HospitalPeruIN0$6,228.00$3,425.40
Margaret Mary Community HospitalBatesvilleIN0$4,935.80$4,146.07
Lutheran Musculoskeletal CenterFort WayneIN0$5,413.00$1,461.51
Marion General HospitalMarionIN0$1,192.00$715.20
Lutheran Hospital Of IndianaFt WayneIN0$3,319.00$1,194.84
Porter Regional HospitalValparaisoIN0$8,935.00$3,216.60
Good Samaritan HospitalVincennesIN0$1,232.05$1,207.41
Schneck Medical CenterSeymourIN0$3,184.00$2,228.80
Bluffton Regional Medical CenterBlufftonIN0$2,884.00$1,586.20
Starke Memorial HospitalKnoxIN0$4,628.51$2,545.68

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.