CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Indiana University Health White Memorial Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,220

about 3.4× the $356 Medicare rate · typically $410–$1,379

modeled estimate · not a bill or quote

What this hospital charges insurers

$925

Below the fair price — a good deal

about $295 under the fair price · 2.6× Medicare

Medicare pays $356 Fair price $1,220 This hospital $925 Cash price $676 Hospital's list price $2,168

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $116 Priciest $925

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

A fair price for a MRI, brain (with and without contrast) is about $1,220 (about 3.4× the $356 Medicare rate). Indiana University Health White Memorial Hospital charges insurers about $925, or about $676 in cash — below the fair price — a good deal. Located in Monticello, IN.

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✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$756 - $925	212%
Blue Cross Blue Shieldmajor	$756 - $925	212%
Aetnamajor	$925 - $1,257	260%
Cignamajor	$925 - $1,366	260%
CareSource	$756	212%
Health Net	$925 - $1,518	260%
+ 9 smaller / regional plans	$756 - $1,995

Excludes 2 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 676), 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 Indiana University Health White Memorial Hospital 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 Indiana University Health White Memorial Hospital

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

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