CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Lehigh Valley Hospital - Macungie

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$500
about 1.4× the $356 Medicare rate · typically $395–$563
modeled estimate · not a bill or quote
What this hospital charges insurers
$492
About the fair price
about $8 under the fair price · 1.4× Medicare
Medicare pays $356 Fair price $500 This hospital $492

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 $492

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 $500 (about 1.4× the $356 Medicare rate). Lehigh Valley Hospital - Macungie charges insurers about $492 — about the fair price. Located in Macungie, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $364 - $2,810 102%
Aetnamajor $382 - $1,815 107%
Cignamajor $375 - $1,036 105%
Humanamajor $367 103%
Ambetter (Centene) $1,103 309%
AmeriHealth $375 - $492 105%
Geisinger $375 - $1,598 105%
HealthPartners $382 - $727 107%
UPMC Health Plan $385 - $1,771 108%
+ 5 smaller / regional plans $389 - $2,120

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Facility Profile & Credentials

  • Address: 3369 State Route 100, Macungie, PA 18062
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals