CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$420
about 1.2× the $356 Medicare rate · typically $307–$616
modeled estimate · not a bill or quote
What this hospital charges insurers
$418
About the fair price
about $2 under the fair price · 1.2× Medicare
Medicare pays $356 Fair price $420 This hospital $418 Cash price $1,420 Hospital's list price $4,640

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NH hospitals compared.

Cheapest $216 Priciest $1,340

Black dot = this hospital, among the 9 NH 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 $420 (about 1.2× the $356 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $418, or about $1,420 in cash — about the fair price. Located in Lebanon, NH.

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 $105 - $5,759 29%
Blue Cross Blue Shieldmajor $105 - $6,535 29%
Aetnamajor $108 - $6,524 30%
Cignamajor $108 - $5,144 30%
Ambetter (Centene) $111 - $860 31%
AmeriHealth $86 - $850 24%
Harvard Pilgrim $132 - $4,811 37%
MVP Health Care $105 - $5,024 29%
Tufts Health Plan $350 - $4,375 98%
WellCare $109 - $416 31%
WellSense $62 - $916 17%
+ 7 smaller / regional plans $83 - $7,124
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals