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MRI brain with and without contrast
CPT 70553 · negotiated-rate distribution across hospitals in SD
Hospitals
5
Min
$3,373.45
Median
$4,883.95
Max
$5,968.00
Range multiplier
1.8×
By payer (36 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| TRICARE | 4 | 72 | $376.09 | $1,858.92 | $3,471.77 | 9.2× |
| UnitedHealthcare | 5 | 36 | $1,409.80 | $4,934.30 | $5,968.00 | 4.2× |
| Blue Cross Blue Shield | 5 | 27 | $1,176.00 | $4,481.15 | $5,968.00 | 5.1× |
| Cigna | 4 | 24 | $4,833.60 | $4,984.65 | $4,984.65 | 1.0× |
| medica (commercial) 94265 [3081118] | 4 | 24 | $4,179.05 | $4,934.30 | $4,934.30 | 1.2× |
| govt employees health assn [3081090] | 4 | 24 | $3,323.10 | $4,934.30 | $4,934.30 | 1.5× |
| healthpartners [3081368] | 4 | 21 | $393.00 | $4,934.30 | $4,934.30 | 12.6× |
| national telephone cooperative assn 52103 [3081149] | 4 | 16 | $3,323.10 | $4,934.30 | $4,934.30 | 1.5× |
| Meritain Health | 4 | 16 | $4,833.60 | $4,984.65 | $4,984.65 | 1.0× |
| risk admin svs [3081167] | 4 | 16 | $1,308.20 | $2,668.10 | $4,028.00 | 3.1× |
| Aetna | 4 | 12 | $4,531.50 | $4,657.38 | $4,783.25 | 1.1× |
| Humana | 5 | 10 | $334.44 | $5,035.00 | $5,968.00 | 17.8× |
| tlc advantage llc [3081189] | 5 | 9 | $4,380.45 | $4,732.90 | $4,927.48 | 1.1× |
| avera health plans 46045 [3081018] | 5 | 9 | $3,700.73 | $4,883.95 | $4,883.95 | 1.3× |
| midlands choice 47080 [3081136] | 4 | 8 | $4,833.60 | $4,984.65 | $4,984.65 | 1.0× |
| allied benefit systems inc [3081320] | 4 | 8 | $4,833.60 | $4,984.65 | $4,984.65 | 1.0× |
| coresource 38225 [3081146] | 4 | 8 | $3,272.75 | $4,531.50 | $4,531.50 | 1.4× |
| employee benefit management 12x44 [3081079] | 4 | 8 | $4,279.75 | $4,531.50 | $4,531.50 | 1.1× |
| fedmed inc [3081283] | 4 | 8 | $4,783.25 | $4,883.95 | $4,883.95 | 1.0× |
| health partners sx009 [3081102] | 4 | 8 | $3,121.70 | $4,934.30 | $4,934.30 | 1.6× |
| key benefit administrators [3081332] | 4 | 8 | $4,833.60 | $4,984.65 | $4,984.65 | 1.0× |
| pacificsource health plans [3081333] | 4 | 8 | $4,279.75 | $4,531.50 | $4,531.50 | 1.1× |
| preferred one 41147 [3081160] | 4 | 8 | $4,833.60 | $4,984.65 | $4,984.65 | 1.0× |
| rocky mountain admin llc 83028 [3081168] | 4 | 8 | $4,028.00 | $4,531.50 | $4,531.50 | 1.1× |
| sanford health plan 91184 [3081174] | 4 | 8 | $4,531.50 | $4,883.95 | $4,883.95 | 1.1× |
| surest [3081369] | 4 | 8 | $3,323.10 | $4,934.30 | $4,934.30 | 1.5× |
| va ccn optum [3081339] | 4 | 4 | $318.51 | $1,409.80 | $1,862.95 | 5.8× |
| Medicare | 4 | 4 | $1,409.80 | $1,636.38 | $5,968.00 | 4.2× |
| Multiplan | 2 | 4 | $4,531.50 | $4,707.73 | $4,883.95 | 1.1× |
| group and pension administrators inc [3081098] | 2 | 4 | $4,531.50 | $4,707.73 | $4,883.95 | 1.1× |
| va black hills health care system 12115 [3081206] | 4 | 4 | $318.51 | $1,409.80 | $1,862.95 | 5.8× |
| va black hills health care system 12115 [3081207] | 3 | 3 | $1,409.80 | $1,409.80 | $1,862.95 | 1.3× |
| VA Health | 3 | 3 | $1,409.80 | $1,409.80 | $1,862.95 | 1.3× |
| Health Net | 3 | 3 | $1,409.80 | $1,409.80 | $1,862.95 | 1.3× |
| triwest healthcare alliance [3081322] | 3 | 3 | $1,409.80 | $1,409.80 | $1,862.95 | 1.3× |
| minnesota health care programs 12k16 [3081295] | 1 | 2 | $1,525.61 | $1,525.61 | $1,525.61 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Monument Health Spearfish Hospital | Spearfish | SD | 6 | $5,242.00 | $5,242.00 | $1,176.00 | $5,968.00 | $5,968.00 |
| Monument Health Custer Hospital | Custer | SD | 35 | $5,035.00 | $5,035.00 | $1,308.20 | $4,934.30 | $5,035.00 |
| Monument Health Lead-Deadwood Hospit | Deadwood | SD | 33 | $5,035.00 | $5,035.00 | $1,308.20 | $4,883.95 | $5,035.00 |
| Monument Health Sturgis Regional | Sturgis | SD | 33 | $5,035.00 | $5,035.00 | $1,308.20 | $4,883.95 | $5,035.00 |
| Monument Health Rapid City Hospital | Rapid City | SD | 31 | $5,035.00 | $5,035.00 | $318.51 | $3,373.45 | $4,833.60 |
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.