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 Brain Stem W/O W/Contrast Material
Falls, MT
See all hospitals reporting CPT 70553 →Price type
Benefis Hospitals Inc’s median price of $356 is 59% below the median hospital's median price ($871), higher than 9% 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: 12 payers, 29 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 | Cigna bhs hb allegiance fee schedule · outpatient | $313.92 | $313.92 | $313.92 – $313.92 |
| 2 | Healthpartners bhs hb allegiance fee schedule · outpatient | $313.92 | $313.92 | $313.92 – $313.92 |
| 3 | Kaiser bhs hb allegiance fee schedule · outpatient | $313.92 | $313.92 | $313.92 – $313.92 |
| 4 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $313.92 | $313.92 | $313.92 – $313.92 |
| 5 | Aetna bhs hb medicare other · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 6 | Anthem bhs hb medicare other · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 7 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 8 | Kaiser bhs hb medicare other · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 9 | Medicare bhs hb medicare other · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 10 | WellCare bhs hb medicare other · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 11 | Tricare bhs hb tricare other · outpatient | $357.13 | $357.13 | $357.13 – $357.13 |
| 12 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient | $413.07 | $413.07 | $413.07 – $413.07 |
| 13 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $1,097 | $1,097 | $161.20 – $2,033 |
| 14 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $1,266 | $1,266 | $186.00 – $2,345 |
| 15 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $1,350 | $1,350 | $198.40 – $2,502 |
| 16 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $1,374 | $1,374 | $201.87 – $2,545 |
| 17 | Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient | $1,377 | $1,377 | $1,377 – $1,377 |
| 18 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $1,434 | $1,434 | $210.80 – $2,658 |
| 19 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges | $1,434 | $1,434 | $210.80 – $2,658 |
| 20 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · inpatientfrom % of charges | $1,451 | $1,451 | $213.28 – $2,689 |
| 21 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $1,519 | $1,519 | $223.20 – $2,814 |
| 22 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $1,519 | $1,519 | $223.20 – $2,814 |
| 23 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $1,519 | $1,519 | $223.20 – $2,814 |
| 24 | Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $1,519 | $1,519 | $223.20 – $2,814 |
| 25 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $1,553 | $1,553 | $228.16 – $2,877 |
Last updated: Mar 26, 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.