MRI brain and brainstem without and with contrast dye at Santa Rosa Hospital - Westover Hills

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

HC 70553 MRI BRAIN W/O & W CONTRAST

San Antonio, TX

See all hospitals reporting CPT 70553 →

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How this price compares nationally

Santa Rosa Hospital - Westover Hills’s median price of $464 is 47% below the median hospital's median price ($871), higher than 23% 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 Santa Rosa Hospital - Westover Hills

Negotiated rates from the hospital’s own file: 12 payers, 35 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 mm fee schedule · outpatient	$335.34	$335.34	$335.34 – $335.34
2	Bcbs Tx mm fee schedule · outpatient	$335.34	$335.34	$335.34 – $335.34
3	Humana gold choice mm fee schedule · outpatient	$335.34	$335.34	$335.34 – $335.34
4	Humana gold plus mm fee schedule · outpatient	$335.34	$335.34	$335.34 – $335.34
5	Molina medicare adv mm fee schedule · outpatient	$335.34	$335.34	$335.34 – $335.34
6	UnitedHealthcare mm fee schedule · outpatient	$335.34	$335.34	$335.34 – $335.34
7	WellCare mm fee schedule · outpatient	$335.34	$335.34	$335.34 – $335.34
8	UnitedHealthcare chip km fee schedule · outpatient	$357.85	$357.85	$357.85 – $357.85
9	UnitedHealthcare star km fee schedule · outpatient	$357.85	$357.85	$357.85 – $357.85
10	UnitedHealthcare star plus km fee schedule · outpatient	$357.85	$357.85	$357.85 – $357.85
11	Devoted mm fee schedule · outpatient	$362.17	$362.17	$362.17 – $362.17
12	Aetna chip km fee schedule · outpatient	$464.22	$464.22	$464.22 – $464.22
13	Aetna star km fee schedule · outpatient	$464.22	$464.22	$464.22 – $464.22
14	Bcbs Tx star chip km fee schedule · outpatient	$464.22	$464.22	$464.22 – $464.22
15	Molina chip km fee schedule · outpatient	$464.22	$464.22	$464.22 – $464.22
16	Molina star plus km fee schedule · outpatient	$464.22	$464.22	$464.22 – $464.22
17	First Health hmo other · outpatient	$880.00	$880.00	$880.00 – $880.00
18	Bcbs Tx blue advantangehmo fee schedule · outpatient	$1,073	$1,073	$1,073 – $1,073
19	Humana choicecare fee schedule · outpatient	$1,178	$1,178	$1,178 – $1,178
20	Healthcare Highways ppo other · outpatient	$1,185	$1,185	$1,185 – $1,185
21	Bcbs Tx hmo fee schedule · outpatient	$1,317	$1,317	$1,317 – $1,317
22	Bcbs Tx heb fee schedule · outpatient	$1,333	$1,333	$1,333 – $1,333
23	Bcbs Tx ppo fee schedule · outpatient	$1,482	$1,482	$1,482 – $1,482
24	Cigna new business fee schedule · outpatient	$1,541	$1,541	$1,541 – $1,541
25	Bcbs Tx traditional fee schedule · outpatient	$1,558	$1,558	$1,558 – $1,558

Page 1 of 2 · 35 rates

Last updated: Jan 13, 2026

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