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MRI brain with and without contrast
CPT 70553 · negotiated-rate distribution across hospitals in VA
Hospitals
12
Min
$1,136.00
Median
$3,371.13
Max
$3,371.13
Range multiplier
3.0×
By payer (23 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 6 | 36 | $306.97 | $3,521.14 | $5,366.23 | 17.5× |
| Aetna | 9 | 33 | $306.29 | $3,341.59 | $4,359.16 | 14.2× |
| Humana | 6 | 24 | $306.97 | $325.84 | $355.31 | 1.2× |
| Anthem BCBS | 6 | 24 | $293.01 | $737.62 | $1,841.69 | 6.3× |
| sentara health plan | 6 | 18 | $298.59 | $342.13 | $4,070.30 | 13.6× |
| Cigna | 9 | 18 | $856.00 | $4,424.81 | $4,726.80 | 5.5× |
| First Health | 9 | 9 | $306.97 | $306.97 | $1,159.00 | 3.8× |
| vhn - ultra | 6 | 6 | $4,070.30 | $4,070.30 | $4,070.30 | 1.0× |
| connecticare | 6 | 6 | $4,595.50 | $4,595.50 | $4,595.50 | 1.0× |
| gateway - tier 1 | 6 | 6 | $6,236.75 | $6,236.75 | $6,236.75 | 1.0× |
| gateway - tier 2 | 6 | 6 | $5,252.00 | $5,252.00 | $5,252.00 | 1.0× |
| gateway - tier 3 | 6 | 6 | $3,610.75 | $3,610.75 | $3,610.75 | 1.0× |
| vhn | 6 | 6 | $5,252.00 | $5,252.00 | $5,252.00 | 1.0× |
| vhn - link | 6 | 6 | $5,908.50 | $5,908.50 | $5,908.50 | 1.0× |
| vhn - plus | 6 | 6 | $5,055.05 | $5,055.05 | $5,055.05 | 1.0× |
| vhn - secondary payors | 6 | 6 | $6,236.75 | $6,236.75 | $6,236.75 | 1.0× |
| medcost/vhn commercial | 3 | 3 | $1,099.00 | $1,099.00 | $1,099.00 | 1.0× |
| sentara hmo/ppo/pos | 3 | 3 | $1,136.00 | $1,136.00 | $1,136.00 | 1.0× |
| medcost/vhn link | 3 | 3 | $4,197.60 | $4,197.60 | $4,197.60 | 1.0× |
| national provider network | 1 | 1 | $6,302.40 | $6,302.40 | $6,302.40 | 1.0× |
| integrated health plan | 1 | 1 | $5,580.25 | $5,580.25 | $5,580.25 | 1.0× |
| corvel | 1 | 1 | $265.11 | $265.11 | $265.11 | 1.0× |
| allcare | 1 | 1 | $325.84 | $325.84 | $325.84 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Carilion Stonewall Jackson Hospital | Lexington | VA | 16 | $6,565.00 | $2,297.75 | $293.01 | $3,371.13 | $6,236.75 |
| Carilion Medical Center | Roanoke | VA | 16 | $6,565.00 | $2,297.75 | $293.01 | $3,371.13 | $6,236.75 |
| Carilion New River Valley Med Center | Christiansburg | VA | 16 | $6,565.00 | $2,297.75 | $293.01 | $3,371.13 | $6,236.75 |
| Carilion Franklin Memorial Hospital | Rocky Mount | VA | 16 | $6,565.00 | $2,297.75 | $293.01 | $3,371.13 | $6,236.75 |
| Carilion Tazewell Community Hospital | Tazewell | VA | 20 | $6,565.00 | $2,297.75 | $265.11 | $3,371.13 | $6,302.40 |
| Carilion Giles Community Hospital | Pearisburg | VA | 16 | $6,565.00 | $2,297.75 | $293.01 | $3,371.13 | $6,236.75 |
| Sheltering Arms Hospital | Mechanicsville | VA | 6 | $4,664.00 | $4,664.00 | $856.00 | $1,136.00 | $4,197.60 |
| Sheltering Arms Institute | Richmond | VA | 6 | $4,664.00 | $4,664.00 | $856.00 | $1,136.00 | $4,197.60 |
| Sheltering Arms Hospital South | Midlothian | VA | 6 | $4,664.00 | $4,664.00 | $856.00 | $1,136.00 | $4,197.60 |
| Childrens Hospital Of The Kings Da | Norfolk | VA | 0 | $6,878.77 | $6,190.89 | — | — | — |
| Lynn House Of Potomac Valley Inc. | Alexandria | VA | 0 | $3,020.00 | $1,510.00 | — | — | — |
| Bon Secours Depaul Medical Center | Norfolk | VA | 0 | $3,486.00 | $2,265.90 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.