CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Montefiore New Rochelle Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $505
  • Cash Discount Price: $3,390
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Montefiore New Rochelle Hospital is $505. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,390. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.42x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.
Cash / Self-Pay
$3,390

Average discount available for prompt cash payment at this facility.

Insurance Median
$505

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%)
Cash / Self-Pay: $3,390 (951%)
Insurance Median: $505 (142%)
Cash: $3,390 (951% of Medicare)
Ins. Median: $505 (142% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $220 - $423 62%
Emblem $423 - $606 119%
Empire $423 - $8,670 119%
Fidelis $423 - $606 119%
Metroplus $423 - $909 119%
UnitedHealthcare $423 - $828 119%
Villagecaremax $423 119%
Vnsny Choice $423 - $581 119%
Wellcare $431 - $510 121%
Centerlight $435 122%
Amidacare $444 - $505 125%
Partners_Health_Plan $444 125%
Hamaspik $456 - $530 128%
Humana $465 130%
Molina Healthcare Of Ny Affinity $495 - $1,116 139%
Medicaid / KanCare $505 142%
Mvp $505 - $1,035 142%
Vnsny Select Health $581 163%
Oscar $668 187%
Aetna $1,090 - $1,220 306%
Northwell $1,137 319%
Centivo $3,285 922%
Cigna $8,136 2283%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16 Guion Place, New Rochelle, NY 10802
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals