CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Seattle Children's Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$452

about 1.3× the $356 Medicare rate · typically $244–$955

modeled estimate · not a bill or quote

What this hospital charges insurers

$246

Below the fair price — a good deal

about $206 under the fair price · 0.7× Medicare

Medicare pays $356 Fair price $452 This hospital $246 Cash price $5,688 Hospital's list price $5,688

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WA hospitals compared.

Cheapest $121 Priciest $389

Black dot = this hospital, among the 9 WA 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 $452 (about 1.3× the $356 Medicare rate). Seattle Children's Hospital charges insurers about $246, or about $5,688 in cash — below the fair price — a good deal. Located in Seattle, WA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$68 - $6,368	19%
Blue Cross Blue Shieldmajor	$65 - $6,006	18%
Aetnamajor	$246 - $6,946	69%
Cignamajor	$225 - $6,151	63%
Humanamajor	$360 - $6,874	101%
Kaiser Permanentemajor	$65 - $5,427	18%
Medical Mutual	$360 - $6,874	101%
Moda Health	$246 - $6,874	69%
Molina	$65 - $5,427	18%
PacificSource	$4,373 - $6,946	1227%
Providence Health Plan	$225 - $6,151	63%
SelectHealth	$360 - $6,874	101%
Tufts Health Plan	$225 - $6,151	63%
+ 61 smaller / regional plans	$62 - $6,946

Government programs also on file: Medicaid.

Excludes 3 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 5,688), 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 Seattle Children's Hospital 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 Seattle Children's Hospital

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

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