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
Village, IL
See all hospitals reporting CPT 70553 →Price type
Alexian Brothers Medical Center’s median price of $477 is 45% below the median hospital's median price ($871), higher than 24% 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, 30 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 | UnitedHealthcare 1663_medicare advantage uhc inpatient (ab,sa) 95% 20231001 other · inpatient | $353.67 | $353.67 | $353.67 – $353.67 |
| 2 | UnitedHealthcare 1695_medicare advantage uhc outpatient (ab,sa) 95% 20240101 other · outpatient | $353.67 | $353.67 | $353.67 – $353.67 |
| 3 | Aetna 1657_medicare advantage aetna inpatient (ab,sa) 20231001 other · inpatient | $372.28 | $372.28 | $372.28 – $372.28 |
| 4 | Aetna 1689_medicare advantage aetna outpatient (ab,sa) 20240101 other · outpatient | $372.28 | $372.28 | $372.28 – $372.28 |
| 5 | Blue Cross Blue Shield 1690_medicare advantage bcbs outpatient (ab,sa) 20240101 other · outpatient | $372.28 | $372.28 | $372.28 – $372.28 |
| 6 | Blue Cross Blue Shield 1733_medicare advantage bcbs inpatient (ab,sa) 20240101 other · inpatient | $372.28 | $372.28 | $372.28 – $372.28 |
| 7 | Humana 1659_medicare advantage humana inpatient (ab,sa) 20231001 other · inpatient | $372.28 | $372.28 | $372.28 – $372.28 |
| 8 | Humana 1691_medicare advantage humana outpatient (ab,sa) 20240101 other · outpatient | $372.28 | $372.28 | $372.28 – $372.28 |
| 9 | UnitedHealthcare 1661_medicare advantage uhc inpatient 100% (ab,sa) 20231001 other · inpatient | $372.28 | $372.28 | $372.28 – $372.28 |
| 10 | UnitedHealthcare 1694_medicare advantage uhc outpatient (ab,sa) 100% 20240101 other · outpatient | $372.28 | $372.28 | $372.28 – $372.28 |
| 11 | UnitedHealthcare 1662_medicare advantage uhc inpatient (ab,sa) 101% 20231001 other · inpatient | $376.00 | $376.00 | $376.00 – $376.00 |
| 12 | Molina 1645_medicare advantage molina hc of il inpatient 103% 20231001 other · inpatient | $383.45 | $383.45 | $383.45 – $383.45 |
| 13 | Molina 1693_medicare advantage molina hc of il outpatient (ab,sa) 103% 20240101 other · outpatient | $383.45 | $383.45 | $383.45 – $383.45 |
| 14 | Aetna Better Health 1656_medicare advantage aetna better health inpatient (ab,sa) 20231001 other · inpatient | $390.89 | $390.89 | $390.89 – $390.89 |
| 15 | Aetna Better Health 1688_medicare advantage aetna better health outpatient (ab,sa) 20240101 other · outpatient | $390.89 | $390.89 | $390.89 – $390.89 |
| 16 | Blue Cross Blue Shield 1681_blue cross blue shield focus care (ab) outpatient 20240101 other · outpatient | $487.69 | $487.69 | $487.69 – $487.69 |
| 17 | Blue Cross Blue Shield 1731_blue cross blue shield focus care (ab) inpatient 20240101 other · inpatient | $487.69 | $487.69 | $487.69 – $487.69 |
| 18 | Blue Cross Blue Shield 1729_blue cross blue shield bcs (ab) inpatient 20240101 other · inpatient | $495.13 | $495.13 | $495.13 – $495.13 |
| 19 | Aetna 1717_aetna hmo (ab,sa) 20240101 other · outpatient | $553.34 | $553.34 | $553.34 – $553.34 |
| 20 | Cigna 1615_cigna ifp (ab) 20231001 other · outpatient | $563.65 | $563.65 | $563.65 – $563.65 |
| 21 | Ambetter 1646_ambetter (ab,sa) inpatient 20231001 other · inpatient | $603.09 | $603.09 | $603.09 – $603.09 |
| 22 | Ambetter 1683_ambetter (ab,sa) outpatient 20240101 other · outpatient | $603.09 | $603.09 | $603.09 – $603.09 |
| 23 | Blue Cross Blue Shield 1700_blue cross blue shield bcs (ab) outpatient 20240101 other · outpatient | $651.49 | $651.49 | $651.49 – $651.49 |
| 24 | Humana 1621_humana ppo (ab) 20231001 fee schedule · outpatient | $1,150 | $1,150 | $1,150 – $1,150 |
| 25 | Humana 1619_humana hmo (ab) 20231001 fee schedule · outpatient | $1,158 | $1,158 | $1,158 – $1,158 |
Last updated: Jan 1, 2026
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