CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Magee Memorial Hospital for Convalescents

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $355
Cash Discount Price: $419
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Magee Memorial Hospital for Convalescents is $355. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $419. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 1513 Race Street, Philadelphia, PA.

Cash / Self-Pay

$419

Average discount available for prompt cash payment at this facility.

Insurance Median

$355

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: $419 (118%)

Insurance Median: $355 (100%)

Cash: $419 (118% of Medicare)

Ins. Median: $355 (100% 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
Magee Health Partners	$211 - $334	59%
Jefferson Health Plan Aca Qhp Exchange	$311	87%
Highmark Wholecare Gateway	$328	92%
Innovage	$328	92%
Inspira Life	$328	92%
Medicare (plans)	$328 - $361	92%
St Agnes	$328	92%
UnitedHealthcare	$328	92%
Humana	$334	94%
Cigna	$341	96%
Magee Keystone Vip	$341	96%
Devoted Health Participation	$344	97%
Magee Pa Health_Wellness	$350 - $441	98%
Magee Provider Partners Health Plan	$351	98%
Aetna	$355 - $448	100%
Geisinger Health Plan	$364 - $1,336	102%
Perennial	$380	107%
Ibc Employee Benefit	$410	115%
Ibc Main Line Health	$410	115%
Ambetter / Centene	$475	133%
Medicaid / KanCare	$482	135%
Magee Keystone First	$503 - $634	141%
Magee Naphcare	$524	147%
Magee United	$677	190%

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 $419.
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 Magee Memorial Hospital for Convalescents 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.