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
Mri brain stem w/o & w/dye
Fond Du Lac, WI
See all hospitals reporting CPT 70553 →Price type
Agnesian Healthcare Inc.’s median price of $666 is 24% below the median hospital's median price ($871), higher than 40% 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: 3 payers, 6 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 | Molina medicare managed care plan fee schedule · outpatient | $258.81 | $258.81 | $258.81 – $258.81 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · outpatient | $345.07 | $345.07 | $345.07 – $345.07 |
| 3 | WellCare medicare managed care plan fee schedule · outpatient | $351.98 | $351.98 | $351.98 – $351.98 |
| 4 | Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos fee schedule · outpatient | $869.97 | $869.97 | $869.97 – $869.97 |
| 5 | Blue Cross Blue Shield blue access ppo fee schedule · outpatient | $901.10 | $901.10 | $901.10 – $901.10 |
| 6 | Blue Cross Blue Shield blue traditional traditional fee schedule · outpatient | $901.10 | $901.10 | $901.10 – $901.10 |
Last updated: Apr 1, 2026
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.