CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Punxsutawney Area Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$360
about 1.0× the $356 Medicare rate · typically $310–$492
modeled estimate · not a bill or quote
What this hospital charges insurers
$310
Below the fair price — a good deal
about $50 under the fair price · 0.9× Medicare
Medicare pays $356 Fair price $360 This hospital $310 Cash price $727 Hospital's list price $1,989

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 PA hospitals compared.

Cheapest $211 Priciest $316

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 (with and without contrast) is about $360 (about 1.0× the $356 Medicare rate). Punxsutawney Area Hospital charges insurers about $310, or about $727 in cash — below the fair price — a good deal. Located in Punxsutawney, PA.

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 $71 - $1,413 20%
Blue Cross Blue Shieldmajor $62 - $7,623 17%
Aetnamajor $101 - $1,041 28%
Cignamajor $105 - $2,098 29%
Humanamajor $358 100%
Ambetter (Centene) $108 - $383 30%
AmeriHealth $101 - $358 28%
Geisinger $103 - $1,019 29%
UPMC Health Plan $103 - $3,363 29%
+ 1 smaller / regional plan $129 - $728
Government programs also on file: Military & VA.
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: 81 Hillcrest Drive, Punxsutawney, PA 15767
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals