Mri scan of brain with contrast
Medicare pricing data for 6,212 providers across 50 states
This procedure has a 6.0x markup — hospitals charge $667.76 but Medicare allows only $111.64. Uninsured patients may face bills 6.0 times higher than what insurance negotiates. Prices vary significantly by location — from $80 in Nebraska to $197 in Puerto Rico. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Mri scan of brain with contrast (HCPCS code 70552) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $111.64, but hospitals typically charge $667.76 — a 6.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $111.64, your out-of-pocket cost would be approximately $22.33. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.0x more than what Medicare allows for this procedure. Medicare actually pays $86.69 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $197 | $274 | 46 | 95 | +76.2% |
| Alaska | $193 | $2,169 | 20 | 45 | +72.4% |
| Nevada | $173 | $970 | 62 | 160 | +55.3% |
| New York | $157 | $1,057 | 364 | 1,345 | +40.5% |
| Maryland | $149 | $681 | 157 | 407 | +33.6% |
| Washington | $140 | $619 | 127 | 724 | +25.1% |
| District of Columbia | $138 | $566 | 32 | 60 | +23.3% |
| California | $134 | $860 | 599 | 1,762 | +20.2% |
| New Jersey | $131 | $806 | 174 | 421 | +17.5% |
| Florida | $129 | $841 | 518 | 1,610 | +15.3% |
| Arizona | $124 | $874 | 142 | 316 | +11.1% |
| New Mexico | $122 | $633 | 27 | 45 | +9.4% |
| Maine | $116 | $552 | 25 | 37 | +3.6% |
| Connecticut | $115 | $573 | 75 | 191 | +3.2% |
| Alabama | $114 | $565 | 126 | 245 | +1.9% |
| Massachusetts | $109 | $546 | 168 | 419 | -2.0% |
| Oregon | $107 | $536 | 58 | 174 | -4.5% |
| Colorado | $106 | $537 | 97 | 168 | -5.4% |
| Virginia | $104 | $613 | 121 | 219 | -7.0% |
| Montana | $103 | $419 | 22 | 149 | -7.3% |
| Louisiana | $101 | $591 | 104 | 294 | -9.6% |
| Arkansas | $99 | $477 | 64 | 115 | -11.1% |
| Oklahoma | $95 | $478 | 62 | 146 | -14.5% |
| Texas | $95 | $762 | 425 | 1,611 | -14.6% |
| North Carolina | $94 | $563 | 200 | 433 | -15.5% |
| Georgia | $94 | $522 | 176 | 372 | -15.9% |
| Minnesota | $93 | $686 | 203 | 596 | -16.9% |
| Pennsylvania | $93 | $382 | 265 | 910 | -17.0% |
| Tennessee | $92 | $522 | 161 | 409 | -17.6% |
| Illinois | $89 | $623 | 250 | 919 | -20.0% |
| Wisconsin | $89 | $788 | 82 | 137 | -20.1% |
| Michigan | $89 | $425 | 140 | 423 | -20.4% |
| Ohio | $87 | $567 | 215 | 762 | -21.8% |
| Kentucky | $87 | $341 | 76 | 245 | -22.4% |
| Mississippi | $86 | $485 | 76 | 326 | -22.7% |
| Rhode Island | $86 | $401 | 11 | 12 | -23.0% |
| Indiana | $85 | $487 | 118 | 277 | -23.5% |
| Delaware | $85 | $333 | 20 | 50 | -23.6% |
| Missouri | $85 | $415 | 128 | 403 | -24.0% |
| New Hampshire | $85 | $519 | 30 | 39 | -24.0% |
| North Dakota | $84 | $283 | 21 | 82 | -25.0% |
| West Virginia | $82 | $321 | 29 | 118 | -26.2% |
| South Dakota | $82 | $204 | 14 | 39 | -26.4% |
| Kansas | $82 | $272 | 51 | 98 | -27.0% |
| Hawaii | $81 | $372 | 11 | 16 | -27.1% |
| Idaho | $81 | $541 | 21 | 35 | -27.3% |
| South Carolina | $81 | $414 | 77 | 264 | -27.7% |
| Utah | $81 | $466 | 64 | 201 | -27.8% |
| Iowa | $80 | $368 | 30 | 45 | -28.5% |
| Nebraska | $80 | $328 | 38 | 93 | -28.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber