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
HB MRI Brain Brain Stem W/O W/Contrast Material
Rochester, NY
See all hospitals reporting CPT 70553 →Price type
Highland Hospital’s median price of $545 is 37% below the median hospital's median price ($871), higher than 31% 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: 7 payers, 19 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 | Highmark highmark bcbs medicare [130101] fee schedule · outpatient | $435.49 | $435.49 | $435.49 – $435.49 |
| 2 | UnitedHealthcare united healthcare medicare [130901] fee schedule · outpatient | $457.31 | $457.31 | $449.75 – $464.87 |
| 3 | Excellus blue choice option medicaid [170601] fee schedule · outpatient | $505.00 | $505.00 | $505.00 – $505.00 |
| 4 | Excellus excellus child health plus [220108] fee schedule · outpatient | $505.00 | $505.00 | $505.00 – $505.00 |
| 5 | Excellus excellus essential (no medicaid) [220109] fee schedule · outpatient | $505.00 | $505.00 | $505.00 – $505.00 |
| 6 | Excellus excellus essential (w/ medicaid) [170604] fee schedule · outpatient | $505.00 | $505.00 | $505.00 – $505.00 |
| 7 | Molina molina child health plus [518901], molina healthcare [172301] fee schedule · outpatient | $505.00 | $505.00 | $505.00 – $505.00 |
| 8 | Molina molina essential (no medicaid) [518902], molina essential pa 3 and 4 [172302] fee schedule · outpatient | $505.00 | $505.00 | $505.00 – $505.00 |
| 9 | UnitedHealthcare united healthcare essential (no medicaid [515812] fee schedule · outpatient | $505.00 | $505.00 | $505.00 – $505.00 |
| 10 | UnitedHealthcare united healthcare medicaid [171601] fee schedule · outpatient | $505.00 | $505.00 | $505.00 – $505.00 |
| 11 | Humana humana medicare [131201] fee schedule · outpatient | $508.18 | $508.18 | $475.41 – $540.94 |
| 12 | Aetna aetna medicare [130001] fee schedule · outpatient | $513.83 | $513.83 | $478.26 – $549.39 |
| 13 | Excellus excellus metal tiers [220102] fee schedule · outpatient | $544.94 | $544.94 | $493.96 – $595.92 |
| 14 | Excellus excellus [220101], excellus simply blue [220106], excellus blue choice [220107] fee schedule · outpatient | $614.36 | $614.36 | $614.36 – $614.36 |
| 15 | Excellus excellus high performance [220103] fee schedule · outpatient | $614.36 | $614.36 | $614.36 – $614.36 |
| 16 | Excellus excellus blue choice [220107], excellus healthy ny [220110], excellus high performance [220103], excellus simply blue [220106] fee schedule · outpatient | $820.33 | $820.33 | $820.33 – $820.33 |
| 17 | Aetna aetna [270002] fee schedule · outpatient | $992.00 | $992.00 | $992.00 – $992.00 |
| 18 | Cigna cigna healthcare (pob 182223) [514405] fee schedule · outpatient | $1,029 | $1,029 | $739.60 – $1,319 |
| 19 | UnitedHealthcare united healthcare [515803] percent of total billed charges · outpatientfrom % of charges | $2,359 | $2,359 | $2,359 – $2,359 |
Last updated: Jul 1, 2026
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