CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: The Shriners' Hospital for Children - Boston

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$418

about 1.2× the $356 Medicare rate · typically $362–$1,351

modeled estimate · not a bill or quote

What this hospital charges insurers

$425

About the fair price

about $7 over the fair price · 1.2× Medicare

Medicare pays $356 Fair price $418 This hospital $425 Cash price $3,657 Hospital's list price $3,657

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $381 Priciest $425

Black dot = this hospital, among the 9 MA 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 $418 (about 1.2× the $356 Medicare rate). The Shriners' Hospital for Children - Boston charges insurers about $425, or about $3,657 in cash — about the fair price. Located in Boston, MA.

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	$382	107%
Blue Cross Blue Shieldmajor	$431	121%
Aetnamajor	$343 - $418	96%
Cignamajor	$553	155%
Ambetter (Centene)	$296	83%
Harvard Pilgrim	$549	154%
Providence Health Plan	$717	201%
Tufts Health Plan	$817	229%
+ 3 smaller / regional plans	$296 - $585

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 3,657), 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 The Shriners' Hospital for Children - Boston 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 The Shriners' Hospital for Children - Boston

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

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