CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: St Marys Good Samaritan Hospital
Billing Code: 70553 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$807
about 2.3× the $356 Medicare rate · typically $290–$1,623
modeled estimate · not a bill or quote
Medicare pays $356 Fair price $807 Cash price $2,226 Hospital's list price $3,424
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $924 - $2,632 | 259% |
| Blue Cross Blue Shieldmajor | $662 - $2,474 | 186% |
| Aetnamajor | $924 - $2,739 | 259% |
| Cignamajor | $924 - $2,808 | 259% |
| Humanamajor | $924 - $2,568 | 259% |
| Kaiser Permanentemajor | $924 | 259% |
| Ambetter (Centene) | $924 | 259% |
| Amerigroup | $564 | 158% |
| CareSource | $924 | 259% |
| Molina | $924 | 259% |
| WellCare | $924 - $980 | 259% |
| + 5 smaller / regional plans | $924 - $3,082 |
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St Marys Good Samaritan Hospital
Compare: MRI, brain (with and without contrast) at other GA hospitals
- Savannah Health Services LLC DBA Memorial Health University Medical Center · Savannah $253
- Southeast Georgia Health System -- Camden Campus · Saint Marys $282
- Navicent Health Baldwin · Milledgeville $293
- Hamilton Medical Center · Dalton $298
- Southeast Georgia Health System- Brunswick Campus · Brunswick $300
- Grady Memorial Hospital · Atlanta $302
- Northeast Georgia Medical Center Habersham · Demorest $321
- Emory Houston Hospital Warner Robins · Warner Robins $328
Insurance negotiated median for the same procedure, sorted lowest first.