CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Lehigh Valley Hospital - Pocono

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$455
about 1.3× the $356 Medicare rate · typically $389–$473
modeled estimate · not a bill or quote
What this hospital charges insurers
$436
About the fair price
about $19 under the fair price · 1.2× Medicare
Medicare pays $356 Fair price $455 This hospital $436

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 $211 Priciest $436

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 $455 (about 1.3× the $356 Medicare rate). Lehigh Valley Hospital - Pocono charges insurers about $436 — about the fair price. Located in East Stroudsburg, 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 $387 - $390 109%
Blue Cross Blue Shieldmajor $380 - $1,664 107%
Aetnamajor $391 - $2,066 110%
Cignamajor $384 - $1,036 108%
Humanamajor $395 111%
Ambetter (Centene) $1,130 317%
AmeriHealth $373 - $384 105%
Devoted Health $395 111%
Geisinger $373 - $883 105%
HealthPartners $391 - $745 110%
UPMC Health Plan $395 - $1,814 111%
+ 5 smaller / regional plans $399 - $2,172

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Facility Profile & Credentials

  • Address: 206 East Brown Street, East Stroudsburg, PA 18301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals