CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Medstar Washington Hospital Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,602
Cash Discount Price: $2,525
vs. Medicare Baseline: 4.49x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Medstar Washington Hospital Center is $1,602. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,525. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.49x the Medicare baseline. Located in 110 Irving Street Nw, Washington, DC.

Cash / Self-Pay

$2,525

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,602

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $2,525 (708%)

Insurance Median: $1,602 (449%)

Cash: $2,525 (708% of Medicare)

Ins. Median: $1,602 (449% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 449% of the Medicare baseline (a markup of 349%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Carefirst Advantage Inc	$412	116%
Tricare	$412	116%
UnitedHealthcare	$412 - $1,953	116%
Aetna	$424 - $2,240	119%
Health Care Service Corporation	$433	121%
Humana	$433	121%
Kaiser Permanente	$433 - $1,942	121%
Amerigroup	$871	244%
Amerihealth Caritas District Of Columbia	$871	244%
Hscsn	$871	244%
Medstar Family Choice Inc	$871 - $1,088	244%
Mamsi	$1,602	449%
Cigna	$2,519	707%
Pfc	$2,525	708%
Ncppo Healthlink Ppo	$2,914	818%
Private Healthcare Systems (Phcs)	$3,108	872%
First Health	$3,302	926%
Carefirst Blue Choice Inc	$3,936	1104%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,525.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medstar Washington Hospital Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.