MRI brain and brainstem without and with contrast dye at Medical City Arlington

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

Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences

RED OAK, TX

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How this price compares nationally

Medical City Arlington’s median price of $1.2k is 36% above the median hospital's median price ($871), higher than 61% 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 Medical City Arlington

Negotiated rates from the hospital’s own file: 10 payers, 42 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 chip fee schedule · outpatient	$328.11	$328.11	$328.11 – $328.11
2	UnitedHealthcare star fee schedule · outpatient	$328.11	$328.11	$328.11 – $328.11
3	UnitedHealthcare starkids fee schedule · outpatient	$328.11	$328.11	$328.11 – $328.11
4	UnitedHealthcare starperinate fee schedule · outpatient	$328.11	$328.11	$328.11 – $328.11
5	UnitedHealthcare starplus fee schedule · outpatient	$328.11	$328.11	$328.11 – $328.11
6	Cigna Healthspring mgmcd fee schedule · outpatient	$344.52	$344.52	$344.52 – $344.52
7	Aetna Better Health chip fee schedule · outpatient	$354.36	$354.36	$354.36 – $354.36
8	Aetna Better Health mcd fee schedule · outpatient	$354.36	$354.36	$354.36 – $354.36
9	Molina chip fee schedule · outpatient	$364.20	$364.20	$360.92 – $367.48
10	Molina mcdstar fee schedule · outpatient	$364.20	$364.20	$360.92 – $367.48
11	Molina star+plus fee schedule · outpatient	$364.20	$364.20	$360.92 – $367.48
12	Molina starkids fee schedule · outpatient	$364.20	$364.20	$360.92 – $367.48
13	Humana mgmcd fee schedule · outpatient	$410.14	$410.14	$410.14 – $410.14
14	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$454.40	$454.40	$454.40 – $454.40
15	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$481.13	$481.13	$481.13 – $481.13
16	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$481.13	$481.13	$481.13 – $481.13
17	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$616.10	$616.10	$616.10 – $616.10
18	UnitedHealthcare smallgroup fee schedule · outpatient	$616.10	$616.10	$616.10 – $616.10
19	Aetna qhphix other · outpatient	$761.00	$761.00	$761.00 – $761.00
20	UnitedHealthcare allpayerappendix fee schedule · outpatient	$828.27	$828.27	$828.27 – $828.27
21	Aetna newbusiness other · outpatient	$1,045	$1,045	$1,045 – $1,045
22	Humana comm fee schedule · outpatient	$1,062	$1,062	$1,062 – $1,062
23	Aetna comm other · outpatient	$1,117	$1,117	$1,117 – $1,117
24	Aetna meritain other · outpatient	$1,117	$1,117	$1,117 – $1,117
25	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$1,249	$1,249	$1,249 – $1,249

Page 1 of 2 · 42 rates

Last updated: Mar 1, 2026

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