CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Brattleboro Memorial Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $343
  • Cash Discount Price: $3,958
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Brattleboro Memorial Hospital is $343. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,958. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.96x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.
Cash / Self-Pay
$3,958

Average discount available for prompt cash payment at this facility.

Insurance Median
$343

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: $3,958 (1110%)
Insurance Median: $343 (96%)
Cash: $3,958 (1110% of Medicare)
Ins. Median: $343 (96% 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.

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 $90 - $276 25%
New Hampshire Healthy Families $90 - $276 25%
Wellsense $90 - $367 25%
Blue Cross Blue Shield $103 - $5,088 29%
Cigna $103 - $5,371 29%
Harvard Pilgrim Health Care $103 - $4,919 29%
Martin'S Point $103 - $343 29%
Mvp Healthcare $103 - $5,088 29%
New Hampshire Healthy Families (Wellcare) $108 - $360 30%
UnitedHealthcare $240 - $5,371 67%
Tufts Health Plan $270 - $5,171 76%
Humana $343 96%
Vermont Health Plan $344 - $5,060 97%
Multiplan $377 - $5,484 106%
Aetna $5,484 1539%
Coventry $5,484 1539%
Health New England $5,484 1539%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17 Belmont Ave, Brattleboro, VT 05301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals