CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Centrastate Medical Center

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$591

about 1.7× the $356 Medicare rate · typically $406–$630

modeled estimate · not a bill or quote

What this hospital charges insurers

$602

About the fair price

about $11 over the fair price · 1.7× Medicare

Medicare pays $356 Fair price $591 This hospital $602 Cash price $477 Hospital's list price $4,147

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 $602

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 $591 (about 1.7× the $356 Medicare rate). Centrastate Medical Center charges insurers about $602, or about $477 in cash — about the fair price. Located in Freehold, NJ.

What each insurance company pays

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

6 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	$602	169%
Blue Cross Blue Shieldmajor	$241 - $744	68%
Aetnamajor	$290 - $699	81%
Cignamajor	$414 - $646	116%
Humanamajor	$1,404	394%
Kaiser Permanentemajor	$664	186%
Ambetter (Centene)	$414	116%
AmeriHealth	$414 - $652	116%
GEHA	$602	169%
Harvard Pilgrim	$602	169%
Health Net	$540 - $2,104	152%
MagnaCare	$1,852	520%
MVP Health Care	$587	165%
Oscar Health	$1,404	394%
Tufts Health Plan	$587	165%
UPMC Health Plan	$414	116%
WellCare	$414	116%
+ 79 smaller / regional plans	$317 - $2,104

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 24 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 477), 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 Centrastate 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 Centrastate Medical Center

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

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