CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Children's Hospital of Philadelphia

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$393

about 1.1× the $356 Medicare rate · typically $271–$832

modeled estimate · not a bill or quote

What this hospital charges insurers

$404

About the fair price

about $11 over the fair price · 1.1× Medicare

Medicare pays $356 Fair price $393 This hospital $404 Cash price $12,733 Hospital's list price $12,733

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 $404

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (with and without contrast) is about $393 (about 1.1× the $356 Medicare rate). Children's Hospital of Philadelphia charges insurers about $404, or about $12,733 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✓ Aetna✓ Cigna HumanaKaiser 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	$1,734 - $2,114	486%
Blue Cross Blue Shieldmajor	$404 - $6,367	113%
Aetnamajor	$2,887 - $3,351	810%
Cignamajor	$6,367	1786%
Geisinger	$363 - $3,989	102%
HealthPartners	$2,400	673%
UPMC Health Plan	$3,476	975%
+ 7 smaller / regional plans	$1,964 - $11,460

Government programs also on file: Medicaid.

Excludes 2 rental-network / third-party entries (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 12,733), 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: 70553.

Insurance Before you use insurance

Call your insurance company to confirm Children's Hospital of Philadelphia is in-network.
Ask your insurer whether prior approval is required for CPT code 70553.
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 Children's Hospital of Philadelphia

Compare: MRI, brain (with and without contrast) at other PA hospitals

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