CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Upper Connecticut Valley Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,229
about 3.5× the $356 Medicare rate · typically $344–$2,818
modeled estimate · not a bill or quote
Medicare pays $356 Fair price $1,229 Cash price $3,360 Hospital's list price $6,054

How we calculate the fair BaseRate →

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $3,451 - $5,491 968%
Blue Cross Blue Shieldmajor $3,097 - $5,029 869%
Cignamajor $4,904 1376%
Harvard Pilgrim $4,139 1161%

Self-Pay How to get the cash price

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 181 Corliss Lane, Colebrook, NH 03576
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals