CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Hospital Comunitario Buen Samaritano Inc

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$314

about 0.9× the $356 Medicare rate · typically $239–$489

modeled estimate · not a bill or quote

What this hospital charges insurers

$250

Below the fair price — a good deal

about $64 under the fair price · 0.7× Medicare

Medicare pays $356 Fair price $314 This hospital $250 Cash price $647 Hospital's list price $647

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

Lowest price of the 9 PR hospitals we have prices for — a strong deal.

Cheapest $250 Priciest $325

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

A fair price for a MRI, brain (with and without contrast) is about $314 (about 0.9× the $356 Medicare rate). Hospital Comunitario Buen Samaritano Inc charges insurers about $250, or about $647 in cash — below the fair price — a good deal. Located in Aguadilla, PR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor	$250 - $261	70%
+ 16 smaller / regional plans	$130 - $317

Government programs also on file: Medicare.

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 647), 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 Hospital Comunitario Buen Samaritano Inc 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 Hospital Comunitario Buen Samaritano Inc

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

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