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
HC MRI BRAIN WO FLD W CONT
Goldsboro, NC
See all hospitals reporting CPT 70553 →Price type
Wayne Memorial Hospital’s median price of $1.0k is 19% above the median hospital's median price ($865), higher than 56% of the 2,618 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: 9 payers, 20 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $333 | $333 | — | — | — | $333 – $333 |
| 2 | Optum vaccn facility · fee schedule · outpatient | $343 | $343 | — | — | — | $343 – $343 |
| 3 | Humana medicare hmo facility · fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 4 | Humana medicare ppo facility · fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 5 | Cigna medicare advantage facility · fee schedule · outpatient | $360 | $360 | — | — | — | $360 – $360 |
| 6 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $360 | $360 | — | — | — | $360 – $360 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $363 | $363 | — | — | — | $363 – $363 |
| 8 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 11 | UnitedHealthcare individual exchange facility · per diem · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 12 | UnitedHealthcare commercial facility · per diem · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 13 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 14 | Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 18 | Medcost commercial/ultra facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 19 | Medcost commercial/ultra facility · percent of total billed charges · inpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
Last updated: Jun 18, 2026
See MRI brain and brainstem without and with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.