CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Roxborough Memorial Hospital

Billing Code: 70551 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$293

about 1.2× the $244 Medicare rate · typically $242–$393

modeled estimate · not a bill or quote

What this hospital charges insurers

$285

About the fair price

about $8 under the fair price · 1.2× Medicare

Medicare pays $244 Fair price $293 This hospital $285 Cash price $243 Hospital's list price $3,808

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 $285

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 $293 (about 1.2× the $244 Medicare rate). Roxborough Memorial Hospital charges insurers about $285, or about $243 in cash — about the fair price. Located in Philadelphia, 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✓ Cigna✓ Humana AetnaKaiser 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	$244 - $510	100%
Blue Cross Blue Shieldmajor	$244 - $1,271	100%
Cignamajor	$577	237%
Humanamajor	$195	80%
HealthPartners	$244 - $366	100%
+ 7 smaller / regional plans	$244 - $342

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 243), 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: 70551.

Insurance Before you use insurance

Call your insurance company to confirm Roxborough Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70551.
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 Roxborough Memorial Hospital

Compare: MRI, brain (no contrast) at other PA hospitals

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