CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Legacy Good Samaritan Medical Center

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$605

about 1.7× the $356 Medicare rate · typically $452–$940

modeled estimate · not a bill or quote

What this hospital charges insurers

$623

About the fair price

about $18 over the fair price · 1.8× Medicare

Medicare pays $356 Fair price $605 This hospital $623 Cash price $2,409 Hospital's list price $3,706

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $116 Priciest $623

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (with and without contrast) is about $605 (about 1.7× the $356 Medicare rate). Legacy Good Samaritan Medical Center charges insurers about $623, or about $2,409 in cash — about the fair price. Located in Portland, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana

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
Blue Cross Blue Shieldmajor	$1,076 - $1,578	302%
Aetnamajor	$378 - $407	106%
Cignamajor	$1,027	288%
Kaiser Permanentemajor	$388 - $776	109%
Health Net	$411 - $1,288	115%
Moda Health	$434 - $1,500	122%
PacificSource	$471 - $1,076	132%
+ 3 smaller / regional plans	$399 - $427

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 2,409), 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 Legacy Good Samaritan Medical Center 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 Legacy Good Samaritan Medical Center

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

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