CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: North Country Hospital and Health Center

Billing Code: 70553 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$267

about 0.8× the $356 Medicare rate · typically $164–$1,916

modeled estimate · not a bill or quote

What this hospital charges insurers

$126

Below the fair price — a good deal

about $141 under the fair price · 0.4× Medicare

Medicare pays $356 Fair price $267 This hospital $126 Cash price $3,087 Hospital's list price $3,858

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

Lowest price of the 7 VT hospitals we have prices for — a strong deal.

Cheapest $126 Priciest $954

Black dot = this hospital, among the 7 VT 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 $267 (about 0.8× the $356 Medicare rate). North Country Hospital and Health Center charges insurers about $126, or about $3,087 in cash — below the fair price — a good deal. Located in Newport, VT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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	$72 - $6,028	20%
Blue Cross Blue Shieldmajor	$149 - $5,593	42%
Cignamajor	$136 - $5,995	38%
Harvard Pilgrim	$5,492	1541%
MVP Health Care	$115 - $5,961	32%

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 3,087), 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 North Country Hospital and Health Center 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 North Country Hospital and Health Center

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

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