CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Englewood Hospital and Medical Center

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$609

about 1.7× the $356 Medicare rate · typically $434–$689

modeled estimate · not a bill or quote

What this hospital charges insurers

$437

Below the fair price — a good deal

about $172 under the fair price · 1.2× Medicare

Medicare pays $356 Fair price $609 This hospital $437 Cash price $721 Hospital's list price $7,213

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $360 Priciest $437

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a MRI, brain (with and without contrast) is about $609 (about 1.7× the $356 Medicare rate). Englewood Hospital and Medical Center charges insurers about $437, or about $721 in cash — below the fair price — a good deal. Located in Englewood, NJ.

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	$421 - $936	118%
Blue Cross Blue Shieldmajor	$421 - $4,182	118%
Aetnamajor	$421 - $5,410	118%
Cignamajor	$4,652	1305%
Humanamajor	$421	118%
Amerigroup	$421 - $708	118%
AmeriHealth	$421 - $3,311	118%
Clover Health	$421	118%
MagnaCare	$633 - $5,770	178%
WellCare	$454 - $564	127%
+ 13 smaller / regional plans	$379 - $7,783

Excludes 2 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 721), 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 Englewood Hospital and Medical Center 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 Englewood Hospital and Medical Center

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

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