70551
MRI brain without contrast
MRI brain without contrast is the #319 most-billed Medicaid procedure code, with $424.0M in payments across 3.2M claims from 2018–2024. The national median cost per claim is $85.39. Costs vary widely — the 90th percentile is $285.87 per claim, 3.3× the median.
Total Paid
$424.0M
0.04% of all spending
Total Claims
3.2M
Providers
3K
Avg Cost/Claim
$133
National Cost Distribution
How much do providers bill per claim for 70551? Based on 3K providers billing this code nationally.
Median
$85.39
Average
$133.58
Std Dev
$136.31
Max
$1,810.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $45.98 and $178.91 per claim for this code.
90% bill between $29.16 and $285.87.
Top 1% bill above $651.33.
About This Procedure
HCPCS code 70551 (MRI brain without contrast) was billed by 3K providers across 3.2M claims, totaling $424.0M in Medicaid payments from 2018–2024. This code was used for 2.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$85.39
Providers Billing
3K
National Spending
$424.0M
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 70551
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $13.3M |
| 2 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $6.1M |
| 3 | Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging | $6.0M |
| 4 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $5.9M |
| 5 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $5.9M |
| 6 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $5.5M |
| 7 | Children's Hospital Corporation Boston, MA · Clinic/Center | $4.5M |
| 8 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $4.2M |
| 9 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $4.1M |
| 10 | United Medical Imaging Healthcare, Inc. Los Angeles, CA · Clinic/Center, Radiology | $3.6M |
| 11 | 1972004489 | $3.4M |
| 12 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $3.2M |
| 13 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $3.1M |
| 14 | 1629327887 | $2.8M |
| 15 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $2.8M |
| 16 | 1649726738 | $2.7M |
| 17 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $2.7M |
| 18 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $2.5M |
| 19 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $2.5M |
| 20 | 1477523413 | $2.4M |
Showing top 20 of 3K providers billing this code