CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Jefferson Abington Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $339
  • Cash Discount Price: $378
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Jefferson Abington Hospital is $339. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $378. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.95x the Medicare baseline. Located in 1200 Old York Road, Abington, PA.
Cash / Self-Pay
$378

Average discount available for prompt cash payment at this facility.

Insurance Median
$339

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $378 (106%)
Insurance Median: $339 (95%)
Cash: $378 (106% of Medicare)
Ins. Median: $339 (95% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Jup Health Partners Chip $70 - $575 20%
Medicaid / KanCare $70 - $676 20%
Jup Pa Health_Wellness $91 - $441 26%
Medicare (plans) $94 - $632 26%
Aetna $105 - $1,118 29%
Abington Pro Ibc $115 - $474 32%
Jup Geisinger Commercial $169 - $1,125 47%
Jup Highmark $200 - $598 56%
Jefferson Health Plan Aca Qhp Exchange $293 82%
Jab Health Partners $294 82%
Innovage $308 86%
Inspira Life $308 86%
Point Of Comfort Refugee Resettlement $308 86%
Provider Partners Health Plan $308 86%
St Agnes $308 86%
Tricare $308 86%
UnitedHealthcare $308 - $333 86%
Humana $314 88%
Cigna $320 - $788 90%
Devoted Health Participation $324 91%
Keystone First Vip Choice $330 93%
Keystone First $331 - $417 93%
Allwell Pa Health_Wellness Ma $339 95%
Perennial $357 100%
Highmark Wholecare Gateway $360 101%
Ibc Employee Benefit $385 108%
Ibc Main Line Health $385 108%
Ibc $429 120%
Pa Health_Wellness Chc $441 124%
Ambetter / Centene $447 125%
Naphcare $493 138%
Blue Cross Blue Shield $1,159 325%
Geisinger Health Plan $1,256 - $1,271 352%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Old York Road, Abington, PA 19001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals