CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: St Louis Childrens Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$401

about 1.1× the $356 Medicare rate · typically $310–$1,358

modeled estimate · not a bill or quote

What this hospital charges insurers

$343

Below the fair price — a good deal

about $58 under the fair price · 1.0× Medicare

Medicare pays $356 Fair price $401 This hospital $343 Cash price $4,651 Hospital's list price $7,752

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 $183 Priciest $343

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 (with and without contrast) is about $401 (about 1.1× the $356 Medicare rate). St Louis Childrens Hospital charges insurers about $343, or about $4,651 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	$343 - $5,760	96%
Blue Cross Blue Shieldmajor	$343 - $6,589	96%
Aetnamajor	$343 - $6,124	96%
Cignamajor	$3,829 - $4,209	1074%
Humanamajor	$343 - $5,775	96%
HealthLink	$3,760 - $5,853	1055%
Medica	$361 - $6,202	101%
Priority Health	$4,209	1181%
UniCare	$5,039 - $5,853	1414%
+ 19 smaller / regional plans	$343 - $6,202

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 4,651), 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 St Louis Childrens 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 St Louis Childrens Hospital

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

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