CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Suny/Stony Brook University Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $459
Cash Discount Price: $11,204
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Suny/Stony Brook University Hospital is $459. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,204. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.29x the Medicare baseline. Located in Health Sciences Center SUNY, Stony Brook, NY.

Cash / Self-Pay

$11,204

Average discount available for prompt cash payment at this facility.

Insurance Median

$459

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: $11,204 (3143%)

Insurance Median: $459 (129%)

Cash: $11,204 (3143% of Medicare)

Ins. Median: $459 (129% 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.

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
Aetna	$433 - $442	121%
Blue Cross Blue Shield	$433	121%
Elderplan	$433	121%
Fidelis Care	$433	121%
Healthfirst Health Plan	$433	121%
UnitedHealthcare	$433 - $4,255	121%
Emblemhealth Hip Of Ny	$442	124%
Agewell New York	$477	134%
Centerlight	$563	158%
Partners Health Plan	$563	158%
Cigna	$2,328	653%
Oxford Freedom And Liberty	$2,617	734%

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 $11,204.
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 Suny/Stony Brook University Hospital 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.