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#226 of 11K

70553

MRI brain without contrast, then with contrast

MRI brain without contrast, then with contrast is the #226 most-billed Medicaid procedure code, with $675.4M in payments across 3.4M claims from 2018–2024. The national median cost per claim is $133.68. Costs vary widely — the 90th percentile is $435.71 per claim, 3.3× the median.

Total Paid

$675.4M

0.06% of all spending

Total Claims

3.4M

Providers

3K

Avg Cost/Claim

$199

National Cost Distribution

How much do providers bill per claim for 70553? Based on 3K providers billing this code nationally.

Median

$133.68

Average

$213.28

Std Dev

$227.95

Max

$3,783.42

Percentile Distribution (Cost per Claim)

p10
$57.18
p25
$72.72
Median
$133.68
p75
$273.97
p90
$435.71
p95
$619.19
p99
$1,167.88

50% of providers bill between $72.72 and $273.97 per claim for this code.

90% bill between $57.18 and $435.71.

Top 1% bill above $1,167.88.

About This Procedure

HCPCS code 70553 (MRI brain without contrast, then with contrast) was billed by 3K providers across 3.4M claims, totaling $675.4M in Medicaid payments from 2018–2024. This code was used for 3.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$133.68

Providers Billing

3K

National Spending

$675.4M

Avg/Median Ratio

1.60×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 70553

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$12.3M
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$10.3M
3Dignity Health

Phoenix, AZ · Rehabilitation Unit

$7.0M
4Stanford Health Care

Stanford, CA · General Acute Care Hospital

$6.9M
5Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$6.9M
6Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$6.8M
7Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$5.5M
8Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$5.4M
9Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$5.4M
10Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$5.3M
111972004489$4.9M
12Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$4.8M
13United Medical Imaging Healthcare, Inc.

Los Angeles, CA · Clinic/Center, Radiology

$4.6M
14Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$4.6M
15State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$4.6M
16Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$4.5M
171649726738$4.3M
18Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$4.0M
19Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$3.9M
20Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$3.8M

Showing top 20 of 3K providers billing this code