CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Boston Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $430
  • Cash Discount Price: $2,685
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Boston Medical Center is $430. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,685. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.21x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.
Cash / Self-Pay
$2,685

Average discount available for prompt cash payment at this facility.

Insurance Median
$430

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: $2,685 (753%)
Insurance Median: $430 (121%)
Cash: $2,685 (753% of Medicare)
Ins. Median: $430 (121% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Oxford Health [1007] $356 100%
Oxford Health [2024] $356 100%
United [2025] $356 - $386 100%
UnitedHealthcare $356 - $405 100%
Zzzunited [1008] $356 - $386 100%
Harvard Pilgrim Health Care [8001] $386 108%
Health Plans Inc [2027] $386 108%
Zzzhealth Plans Inc [1013] $386 108%
Champva [9004] $403 113%
Tricare $403 113%
Aetna $405 - $2,917 114%
Blue Cross Blue Shield $405 - $961 114%
Humana $405 114%
Medicare (plans) $405 - $426 114%
Neighborhood Pace [1206] $405 114%
Tufts [8002] $405 - $1,214 114%
Ubh Hphc [8016] $405 114%
Veterans Admin [9003] $405 114%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $405 114%
Wellcare [1240] $421 118%
Cca [1215] $426 120%
Corrections [9001] $426 - $507 120%
Zzzcca Onecare [1216] $426 120%
Eternalhealth [1227] $430 121%
Tufts Conncare/Qhp [8020] $431 - $576 121%
Fallon Sco [1126] $446 125%
Senior Whole Health [1210] $486 136%
Hsn Bad Debt [4003] $513 144%
Hsn Confidential [4007] $513 144%
Hsn Dental [4006] $513 144%
Hsn Partial [4002] $513 144%
Hsn [4001] $513 144%
Fallon [8008] $527 148%
Unicare [8004] $749 210%
Wellpoint [2034] $749 210%
Cigna $1,214 - $5,071 341%
Medicaid / KanCare $2,148 603%
Uphams Corner Esp [1213] $2,386 669%
Workers Comp [5002] $2,558 718%
Zzzbu Employee Work Comp [5004] $2,558 718%
Zzzcity Of Boston Work Comp [5003] $2,558 718%
Meritain Health [1023] $2,625 736%
Mass General Brigham Health Plan Commercial [8009] $3,218 903%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Boston Medical Center Place, Boston, MA 02118
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals