CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Grandview Medical Center

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$325

about 0.9× the $356 Medicare rate · typically $323–$428

modeled estimate · not a bill or quote

What this hospital charges insurers

$324

About the fair price

about $1 under the fair price · 0.9× Medicare

Medicare pays $356 Fair price $325 This hospital $324 Cash price $2,961 Hospital's list price $15,185

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $182 Priciest $324

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (with and without contrast) is about $325 (about 0.9× the $356 Medicare rate). Grandview Medical Center charges insurers about $324, or about $2,961 in cash — about the fair price. Located in Birmingham, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$314 - $6,833	88%
Blue Cross Blue Shieldmajor	$769	216%
Aetnamajor	$323 - $4,221	91%
Cignamajor	$320 - $573	90%
Humanamajor	$314	88%
Ambetter (Centene)	$479	134%
Cigna HealthSpring	$558	157%
Clover Health	$322	90%
Devoted Health	$320	90%
SelectHealth	$317	89%
WellCare	$325	91%
+ 20 smaller / regional plans	$207 - $13,666

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,961), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70553.

Insurance Before you use insurance

Call your insurance company to confirm Grandview Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 70553.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Grandview Medical Center

Compare: MRI, brain (with and without contrast) at other AL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.