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.
Original text from hospital filings
MR BRAIN W/WO DYE
Downers Grove, IL
See all hospitals reporting CPT 70553 →Price type
Advocate Good Samaritan Hospital’s median price of $1.7k is 99% above the median hospital's median price ($871), higher than 72% of the 2,597 hospitals reporting CPT 70553. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Ambetter medicare advantage case rate · outpatient | $539.81 | $539.81 | $539.81 – $539.81 |
| 2 | Molina medicare advantage case rate · outpatient | $539.81 | $539.81 | $539.81 – $539.81 |
| 3 | Oscar medicare advantage case rate · outpatient | $558.42 | $558.42 | $558.42 – $558.42 |
| 4 | Cigna commercial case rate · outpatient | $1,096 | $1,096 | $1,096 – $1,096 |
| 5 | UnitedHealthcare commercial case rate · outpatient | $1,276 | $1,276 | $1,276 – $1,276 |
| 6 | UnitedHealthcare hmo case rate · outpatient | $1,276 | $1,276 | $1,276 – $1,276 |
| 7 | Aetna commercial case rate · outpatient | $1,613 | $1,613 | $1,613 – $1,613 |
| 8 | Blue Cross Blue Shield commercial fee schedule · outpatient | $2,268 | $2,268 | $2,179 – $2,356 |
| 9 | Blue Cross Blue Shield ppo fee schedule · outpatient | $2,480 | $2,480 | $2,480 – $2,480 |
| 10 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $3,649 | $3,649 | $3,649 – $3,649 |
| 11 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $3,719 | $3,719 | $3,719 – $3,719 |
| 12 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $3,776 | $3,776 | $3,776 – $3,776 |
| 13 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $3,776 | $3,776 | $3,776 – $3,776 |
Last updated: Nov 4, 2025
See MRI brain and brainstem without and with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.