CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Montefiore St Luke's Cornwall

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$617

about 1.7× the $356 Medicare rate · typically $488–$1,973

modeled estimate · not a bill or quote

What this hospital charges insurers

$505

Below the fair price — a good deal

about $112 under the fair price · 1.4× Medicare

Medicare pays $356 Fair price $617 This hospital $505 Cash price $435 Hospital's list price $7,184

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $115 Priciest $505

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

A fair price for a MRI, brain (with and without contrast) is about $617 (about 1.7× the $356 Medicare rate). Montefiore St Luke's Cornwall charges insurers about $505, or about $435 in cash — below the fair price — a good deal. Located in Newburgh, NY.

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	$435 - $589	122%
Blue Cross Blue Shieldmajor	$435 - $3,178	122%
Aetnamajor	$391 - $1,370	110%
Cignamajor	$8,291 - $9,213	2326%
Humanamajor	$479	134%
CDPHP	$435 - $1,078	122%
Fidelis Care	$348 - $505	98%
GEHA	$438	123%
MVP Health Care	$1,451	407%
Oscar Health	$435 - $688	122%
WellCare	$449	126%
+ 13 smaller / regional plans	$422 - $5,747

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (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 435), 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 Montefiore St Luke's Cornwall 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 Montefiore St Luke's Cornwall

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

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