CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Providence Queen of the Valley Medical Center

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$972
about 2.7× the $356 Medicare rate · typically $447–$3,156
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,512
Well above the fair price
about $1,540 over the fair price · 7.1× Medicare
Medicare pays $356 Fair price $972 This hospital $2,512 Cash price $6,744 Hospital's list price $13,224

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $90 Priciest $2,512

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

A fair price for a MRI, brain (with and without contrast) is about $972 (about 2.7× the $356 Medicare rate). Providence Queen of the Valley Medical Center charges insurers about $2,512, or about $6,744 in cash — well above the fair price. Located in Napa, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $972. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $611 171%
Blue Cross Blue Shieldmajor $6,434 - $9,258 1805%
Aetnamajor $495 - $2,512 139%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 1000 Trancas St, Napa, CA 94558
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals