CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Wellspan Good Samaritan Hospital

Billing Code: 70551 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$734
about 3.0× the $244 Medicare rate · typically $637–$940
modeled estimate · not a bill or quote
What this hospital charges insurers
$722
About the fair price
about $12 under the fair price · 3.0× Medicare
Medicare pays $244 Fair price $734 This hospital $722 Cash price $455 Hospital's list price $2,225

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $127 Priciest $722

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

A fair price for a MRI, brain (no contrast) is about $734 (about 3.0× the $244 Medicare rate). Wellspan Good Samaritan Hospital charges insurers about $722, or about $455 in cash — about the fair price. Located in Lebanon, PA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $1,342 551%
Blue Cross Blue Shieldmajor $325 - $2,128 133%
Aetnamajor $246 - $1,477 101%
Cignamajor $1,158 475%
Geisinger $1,335 548%
UPMC Health Plan $1,335 548%
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 252 South 4Th Street, Lebanon, PA 17042
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals