CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Penn State Health Hampden Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $389
Cash Discount Price: $562
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Penn State Health Hampden Medical Center is $389. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $562. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.09x the Medicare baseline. Located in 2200 Good Hope Road, Enola, PA.

Cash / Self-Pay

$562

Average discount available for prompt cash payment at this facility.

Insurance Median

$389

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: $562 (158%)

Insurance Median: $389 (109%)

Cash: $562 (158% of Medicare)

Ins. Median: $389 (109% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
[Amerihealth Caritas]	$290 - $341	81%
[Highmark Wholecare]	$290 - $341	81%
[Geisinger]	$307 - $1,192	86%
[Health Partners Plans]	$317 - $348	89%
[Pa Health & Wellness]	$319 - $351	89%
[Highmark]	$338 - $1,457	95%
UnitedHealthcare	$341 - $964	96%
[Cbc]	$341 - $892	96%
Aetna	$344 - $1,016	97%
Humana	$344	97%
[Healthspring]	$344	97%
[Upmc]	$348 - $1,320	98%
[Point Comfort Underwriters]	$426	120%
[Highmark Choice Blue]	$1,166	327%
Cigna	$1,185	332%
[Highmark Aca]	$1,224	343%
[Preferred Healthcare Systems]	$1,340	376%
[First Health]	$1,429	401%
[Multiplan]	$1,429	401%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $562.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Penn State Health Hampden Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.