CMS Price Transparency Data

MRI, brain (no contrast)

Facility: St Louis Childrens Hospital

Billing Code: 70551 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$298

about 1.2× the $244 Medicare rate · typically $224–$872

modeled estimate · not a bill or quote

What this hospital charges insurers

$235

Below the fair price — a good deal

about $63 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $298 This hospital $235 Cash price $3,385 Hospital's list price $5,642

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $110 Priciest $235

Black dot = this hospital, among the 9 MO 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 (no contrast) is about $298 (about 1.2× the $244 Medicare rate). St Louis Childrens Hospital charges insurers about $235, or about $3,385 in cash — below the fair price — a good deal. Located in Saint Louis, MO.

What each insurance company pays

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

5 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	$235 - $4,192	96%
Blue Cross Blue Shieldmajor	$235 - $4,796	96%
Aetnamajor	$235 - $4,457	96%
Cignamajor	$2,787 - $3,064	1143%
Humanamajor	$235 - $4,203	96%
HealthLink	$2,736 - $4,260	1122%
Medica	$247 - $4,514	101%
Priority Health	$3,064	1257%
UniCare	$3,667 - $4,260	1504%
+ 19 smaller / regional plans	$235 - $4,514

Excludes 6 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 3,385), 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: 70551.

Insurance Before you use insurance

Call your insurance company to confirm St Louis Childrens Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70551.
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 St Louis Childrens Hospital

Compare: MRI, brain (no contrast) at other MO hospitals

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