MRI, brain (with and without contrast)
Facility: Physicians Care Surgical Hospital
Billing Code: 70553 (CPT)
- CPT Billing Code: 70553
- Insurance Median: $531
- Cash Discount Price: $393
- vs. Medicare Baseline: 1.49x 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.
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 |
|---|---|---|
| Connecticare | $424 | 119% |
| Aarp | $492 | 138% |
| Vibra Health Plan | $492 | 138% |
| Aetna | $492 - $2,614 | 138% |
| Humana | $492 | 138% |
| Shenandoah Life | $492 | 138% |
| Cigna | $492 | 138% |
| Medicare (plans) | $492 | 138% |
| Personal Choice 65 | $492 | 138% |
| Keystone 65 HMO | $492 | 138% |
| Devon Health Services | $492 | 138% |
| Ibc Security 65 | $492 | 138% |
| Unified Health Services | $492 | 138% |
| Tricare | $492 | 138% |
| UnitedHealthcare | $492 - $1,043 | 138% |
| Gpm Health and Life Insurance Mc Supplement | $492 | 138% |
| Pcsh Aarp | $492 | 138% |
| Blue Cross Blue Shield | $492 - $678 | 138% |
| Regence Blue Shield | $531 | 149% |
| Ibc Local | $531 | 149% |
| Horizon of New Jersey | $531 | 149% |
| Amerihealth Administrators | $531 | 149% |
| Independence Administrators | $531 | 149% |
| Empire Plan | $531 | 149% |
| Independence Bc | $531 | 149% |
| Personal Choice | $531 | 149% |
| Keystone Healthplan East | $531 | 149% |
| Ibc | $531 | 149% |
| Ibc 2021 | $531 | 149% |
| Amerihealth New Jersey HMO | $531 | 149% |
| Independence Federal | $531 | 149% |
| Keystone HMO | $531 | 149% |
| Carefirst Administrators | $531 | 149% |
| Ibc - Local | $531 | 149% |
| Pcsh Ibc | $531 | 149% |
| Keystone Direct POS | $531 | 149% |
| Highmark | $678 | 190% |
| Oxford Health Plan | $1,043 | 293% |
| Allsavers | $1,043 | 293% |
| Oxford Life Insurance Company | $1,043 | 293% |
| Surest | $1,043 | 293% |
| Golden Rule Op | $1,043 | 293% |
| Geha | $2,614 | 733% |
| Trustmark | $2,614 | 733% |
| Coventry | $2,614 | 733% |
| Premier Care Network | $2,614 | 733% |
| Allied Benefit Systems | $2,614 | 733% |
| Meritain Health | $2,614 | 733% |
| Lucent Health | $2,614 | 733% |
| Ag Administrators Inc | $2,614 | 733% |
| Continental Benefits | $2,614 | 733% |
| Allied Benefits Systems | $2,614 | 733% |
| Healthez | $2,614 | 733% |
| Ag Administrators | $2,614 | 733% |
| Marpai Health | $2,614 | 733% |