CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Bellevue Hospital Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $743
  • Cash Discount Price: $445
  • vs. Medicare Baseline: 2.08x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Bellevue Hospital Center is $743. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $445. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.08x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
$445

Average discount available for prompt cash payment at this facility.

Insurance Median
$743

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: $445 (125%)
Insurance Median: $743 (208%)
Cash: $445 (125% of Medicare)
Ins. Median: $743 (208% 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 208% of the Medicare baseline (a markup of 108%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $93 - $1,832 26%
Aetna $111 - $1,131 31%
Amidacare $117 - $814 33%
Emblem $117 - $1,850 33%
Wellcare $126 - $480 35%
Metroplus $149 - $1,832 42%
Fidelis $168 - $1,832 47%
Oscar $175 - $1,702 49%
Affinity $318 - $1,832 89%
Blue Cross Blue Shield $361 - $2,114 101%
Centerlight $361 - $1,321 101%
Elderplan $361 - $1,718 101%
Centers Plan For Healthy Living $376 - $440 105%
Hamaspik $379 106%
Vaccn $423 119%
Vnsny $423 - $2,246 119%
Oxford $444 - $1,586 125%
United $444 - $2,114 125%
Villagecare Max $667 - $2,246 187%
Carelon $814 - $1,718 228%
Senior Whole Health $814 228%
United Behavioral Health $814 - $896 228%
Carelon (Amida Care) $831 233%
Cigna $1,285 361%
Local 1199 $1,417 - $2,246 398%
Magnacare $1,982 556%
Multiplan $2,114 593%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals