CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Good Samaritan Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$666
about 1.9× the $356 Medicare rate · typically $373–$1,528
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,181
Well above the fair price
about $515 over the fair price · 3.3× Medicare
Medicare pays $356 Fair price $666 This hospital $1,181 Cash price $32,724 Hospital's list price $32,724

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 $1,181

Black dot = this hospital, among the 9 CA 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 $666 (about 1.9× the $356 Medicare rate). Good Samaritan Hospital charges insurers about $1,181, or about $32,724 in cash — well above the fair price. Located in San Jose, 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 $666. 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.

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 $828 - $10,179 232%
Blue Cross Blue Shieldmajor $348 - $9,952 98%
Aetnamajor $4,973 - $5,074 1395%
Cignamajor $21,861 - $31,933 6133%
Humanamajor $19,129 - $27,941 5367%
Health Net $16,396 - $23,950 4600%
+ 6 smaller / regional plans $203 - $31,933
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals