CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Jacobi Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $821
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.30x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Jacobi Medical Center is $821. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.30x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$821

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Insurance Median: $821 (230%)

Ins. Median: $821 (230% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 230% of the Medicare baseline (a markup of 130%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Healthfirst	$95 - $1,847	27%
Aetna	$111 - $1,131	31%
Amidacare	$119 - $821	33%
Emblem	$119 - $1,850	33%
Wellcare	$128 - $400	36%
Metroplus	$149 - $1,847	42%
Fidelis	$171 - $1,847	48%
Oscar	$178 - $1,702	50%
Blue Cross Blue Shield	$343 - $2,114	96%
Elderplan	$423 - $1,718	119%
Vaccn	$423	119%
Vnsny	$423 - $2,246	119%
Centers Plan For Healthy Living	$440	123%
Oxford	$808 - $1,586	227%
United	$808 - $2,114	227%
Carelon	$821 - $1,718	230%
Senior Whole Health	$821	230%
United Behavioral Health	$821 - $903	230%
Affinity	$837 - $1,847	235%
Carelon (Amida Care)	$837	235%
Cigna	$1,285	361%
Centerlight	$1,321	371%
Magnacare	$1,982	556%
Multiplan	$2,114	593%
Local 1199	$2,246	630%
Villagecare Max	$2,246	630%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jacobi Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.