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 STEM W/O & W/DYE
Ord, NE
See all hospitals reporting CPT 70553 →Price type
Valley County Hospital’s median price of $350 is 60% below the median hospital's median price ($871), higher than 8% 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: 8 payers, 30 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 | Bcbs Ne medicare advantage professional · fee schedule · both | $194.91 | $196.93 | $100.48 – $295.39 |
| 2 | Medica medicare advantage professional · fee schedule · both | $194.91 | $196.93 | $100.48 – $295.39 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $194.91 | $196.93 | $100.48 – $295.39 |
| 4 | Humana medicare advantage professional · fee schedule · both | $198.81 | $200.87 | $102.49 – $301.30 |
| 5 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $200.76 | $202.83 | $103.49 – $304.25 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $204.66 | $206.77 | $105.50 – $310.16 |
| 7 | Medica individual and family business plans professional · fee schedule · both | $374.62 | $378.49 | $193.12 – $567.74 |
| 8 | Bcbs Ne commercial professional · case rate · both | $383.84 | $387.81 | $197.88 – $581.71 |
| 9 | UnitedHealthcare managed medicaid professional · fee schedule · both | $393.03 | $393.03 | $131.54 – $654.52 |
| 10 | Molina managed medicaid/chip professional · fee schedule · both | $396.89 | $396.89 | $132.83 – $660.94 |
| 11 | Medica commercial plans/care system products professional · fee schedule · both | $394.54 | $398.62 | $203.39 – $597.93 |
| 12 | Molina dual eligible plan professional · fee schedule · both | $404.59 | $404.59 | $135.41 – $673.77 |
| 13 | MultiPlan primary/complementary ppo professional · fee schedule · both | $629.56 | $636.07 | $324.55 – $954.11 |
| 14 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $929.40 | $929.40 | $929.40 – $929.40 |
| 15 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $929.40 | $929.40 | $929.40 – $929.40 |
| 16 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $929.40 | $929.40 | $929.40 – $929.40 |
| 17 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $947.99 | $947.99 | $947.99 – $947.99 |
| 18 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2,231 | $2,231 | $2,231 – $2,231 |
| 19 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $2,393 | $2,393 | $2,393 – $2,393 |
| 20 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $2,440 | $2,440 | $2,440 – $2,440 |
| 21 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $2,537 | $2,537 | $2,537 – $2,537 |
| 22 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $4,229 | $4,229 | $4,229 – $4,229 |
| 23 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $4,229 | $4,229 | $4,229 – $4,229 |
| 24 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $4,461 | $4,461 | $4,461 – $4,461 |
| 25 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $4,461 | $4,461 | $4,461 – $4,461 |
Last updated: Jun 15, 2026
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