CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: St Catherine of Siena Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$512

about 1.4× the $356 Medicare rate · typically $344–$747

modeled estimate · not a bill or quote

What this hospital charges insurers

$505

About the fair price

about $7 under the fair price · 1.4× Medicare

Medicare pays $356 Fair price $512 This hospital $505 Hospital's list price $9,000

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 $512 (about 1.4× the $356 Medicare rate). St Catherine of Siena Hospital charges insurers about $505 — about the fair price. Located in Smithtown, 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	$423 - $5,850	119%
Blue Cross Blue Shieldmajor	$414 - $970	116%
Aetnamajor	$423 - $7,200	119%
Cignamajor	$1,968 - $5,850	552%
Humanamajor	$431	121%
AmeriHealth	$951	267%
Cigna HealthSpring	$423	119%
Fidelis Care	$423 - $1,136	119%
Independent Health	$423 - $505	119%
MVP Health Care	$423 - $1,968	119%
Oscar Health	$3,690	1035%
UniCare	$5,850	1641%
WellCare	$465	130%
+ 44 smaller / regional plans	$423 - $9,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (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, 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 St Catherine of Siena Hospital 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 St Catherine of Siena Hospital

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

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