CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: North Shore Medical Center

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$438

about 1.2× the $356 Medicare rate · typically $363–$905

modeled estimate · not a bill or quote

What this hospital charges insurers

$369

Below the fair price — a good deal

about $69 under the fair price · 1.0× Medicare

Medicare pays $356 Fair price $438 This hospital $369 Cash price $15,259 Hospital's list price $15,259

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $155 Priciest $369

Black dot = this hospital, among the 9 FL 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 $438 (about 1.2× the $356 Medicare rate). North Shore Medical Center charges insurers about $369, or about $15,259 in cash — below the fair price — a good deal. Located in Miami, FL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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	$263 - $15,259	74%
Aetnamajor	$307 - $10,986	86%
Cignamajor	$363 - $7,629	102%
Humanamajor	$197 - $691	55%
Ambetter (Centene)	$650	182%
AmeriHealth	$755	212%
AvMed	$292 - $719	82%
Bright Health	$422	118%
Devoted Health	$346	97%
Molina	$669	188%
Oscar Health	$474	133%
+ 20 smaller / regional plans	$323 - $15,259

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 15,259), 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 North Shore 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 North Shore Medical Center

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

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