MRI brain stem with contrast dye

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC MRI BRAIN W CONTRAST

Payers reporting CPT 70552

Payer pricing summary

Low

$187

Average

$1.6k

Median

$1.3k

High

$9.9k

Payer rate distribution

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#
1	Medicare other · both · +22 other terms	47	$369	$449	$349	78%	152–305	$326 – $2.5k
2	Bcbs Al facility · other · outpatient · +4 other terms	6	$635	$648	$140	22%	14–41	$322 – $769
3	Anthem fee schedule · outpatient · +34 other terms	215	$740	$674	$902	134%	6–60	$8 – $10.7k
4	UnitedHealthcare fee schedule · outpatient · +39 other terms	800	$612	$709	$685	97%	4–40	$1 – $10.5k
5	Cigna fee schedule · outpatient · +34 other terms	377	$772	$1.1k	$1.1k	98%	4–40	$47 – $14.1k
6	Blue Cross Blue Shield fee schedule · outpatient · +36 other terms	531	$788	$998	$1.1k	106%	3–30	$1 – $19.1k
7	Molina fee schedule · outpatient · +35 other terms	262	$390	$426	$223	52%	2–20	$1 – $2.3k
8	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$820	$820	—	—	2–20	$820 – $820
9	Aetna fee schedule · outpatient · +38 other terms	640	$501	$1.0k	$1.0k	96%	1–10	$1 – $8.4k
10	Bcbs In other · both · +1 other terms	11	$1.3k	$1.3k	$199	15%	1–10	$847 – $1.7k
11	Humana fee schedule · outpatient · +35 other terms	451	$385	$715	$855	120%	—	$1 – $8.6k
12	WellCare fee schedule · outpatient · +26 other terms	196	$381	$417	$172	41%	—	$88 – $1.4k
13	MultiPlan fee schedule · outpatient · +24 other terms	128	$3.4k	$2.9k	$2.6k	89%	—	$108 – $9.6k
14	Ambetter fee schedule · outpatient · +25 other terms	117	$566	$514	$379	74%	—	$70 – $2.8k
15	Kaiser fee schedule · outpatient · +27 other terms	112	$712	$1.1k	$1.4k	136%	—	$83 – $9.0k
16	Devoted facility · fee schedule · outpatient · +20 other terms	101	$350	$403	$422	105%	—	$302 – $4.9k
17	Caresource fee schedule · outpatient · +22 other terms	90	$440	$532	$281	53%	—	$1 – $2.0k
18	Tricare facility · fee schedule · outpatient · +21 other terms	88	$351	$517	$789	153%	—	$49 – $4.8k
19	Aetna Better Health fee schedule · outpatient · +19 other terms	86	$305	$346	$168	48%	—	$186 – $1.3k
20	Oscar facility · fee schedule · outpatient · +22 other terms	68	$510	$499	$125	25%	—	$295 – $983
21	Highmark facility · fee schedule · outpatient · +23 other terms	67	$580	$968	$978	101%	—	$63 – $4.6k
22	First Health fee schedule · outpatient · +23 other terms	64	$1.4k	$1.7k	$2.3k	136%	—	$100 – $8.2k
23	Medicaid facility · fee schedule · outpatient · +19 other terms	59	$321	$370	$183	49%	—	$162 – $882
24	Optum fee schedule · outpatient · +25 other terms	58	$329	$1.0k	$1.3k	126%	—	$90 – $5.3k
25	Amerihealth Caritas facility · fee schedule · outpatient · +18 other terms	57	$407	$469	$172	37%	—	$269 – $1.3k

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