MRI brain and brainstem without and with contrast dye at Hsa Pgh Llc

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MRI BRAIN W & WO CONTRAST

Hialeah, FL

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Pricing by billing methodology

Price type

How this price compares nationally

Hsa Pgh Llc’s median price of $394 is 55% below the median hospital's median price ($871), higher than 16% of the 2,597 hospitals reporting CPT 70553. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70553 at Hsa Pgh Llc

Negotiated rates from the hospital’s own file: 15 payers, 37 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	Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient	$273.94	$273.94	$273.94 – $273.94
2	Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient	$273.94	$273.94	$273.94 – $273.94
3	Humana humana medical plan / fl medicaid facility · fee schedule · outpatient	$273.94	$273.94	$273.94 – $273.94
4	UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient	$278.05	$278.05	$278.05 – $278.05
5	Molina molina managed medicaid facility · other · outpatient	$282.16	$282.16	$282.16 – $282.16
6	UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient	$331.31	$331.31	$331.31 – $331.31
7	UnitedHealthcare united healthcare of florida exchange facility · other · outpatient	$331.31	$331.31	$331.31 – $331.31
8	UnitedHealthcare united healthcare of florida hmo facility · other · outpatient	$331.31	$331.31	$331.31 – $331.31
9	UnitedHealthcare united healthcare of florida ppo facility · other · outpatient	$331.31	$331.31	$331.31 – $331.31
10	Oscar oscar health plan hix facility · fee schedule · outpatient	$343.66	$343.66	$343.66 – $343.66
11	Humana humana medicare hmo facility · fee schedule · outpatient	$351.57	$351.57	$351.57 – $351.57
12	Humana humana medicare ppo facility · fee schedule · outpatient	$351.57	$351.57	$351.57 – $351.57
13	Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges	$353.39	$353.39	$353.39 – $353.39
14	Medicare medicare facility · fee schedule · outpatient	$358.49	$358.49	$358.49 – $358.49
15	WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient	$358.49	$358.49	$358.49 – $358.49
16	Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient	$364.32	$364.32	$364.32 – $364.32
17	Devoted devoted health facility · fee schedule · outpatient	$364.32	$364.32	$364.32 – $364.32
18	UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient	$364.32	$364.32	$364.32 – $364.32
19	Molina molina medicare advantage program facility · fee schedule · outpatient	$371.61	$371.61	$371.61 – $371.61
20	Cigna cigna healthsprings facility · fee schedule · outpatient	$376.35	$376.35	$376.35 – $376.35
21	Aetna aetna non-gatekeeper facility · fee schedule · outpatient	$434.89	$434.89	$434.89 – $434.89
22	Molina molina marketplace program exchange facility · fee schedule · outpatient	$615.61	$615.61	$615.61 – $615.61
23	Ambetter ambetter by sunshine hix facility · fee schedule · outpatient	$673.99	$673.99	$673.99 – $673.99
24	Humana humana commercial hmo facility · fee schedule · outpatient	$716.98	$716.98	$716.98 – $716.98
25	Humana humana commercial ppo facility · fee schedule · outpatient	$716.98	$716.98	$716.98 – $716.98

Page 1 of 2 · 37 rates

Last updated: Sep 1, 2026

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