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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $12.3M |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $10.3M |
| 3 | Dignity Health Phoenix, AZ · Rehabilitation Unit | $7.0M |
| 4 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $6.9M |
| 5 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $6.9M |
| 6 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $6.8M |
| 7 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $5.5M |
| 8 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $5.4M |
| 9 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $5.4M |
| 10 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $5.3M |
| 11 | 1972004489 | $4.9M |
| 12 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $4.8M |
| 13 | United Medical Imaging Healthcare, Inc. Los Angeles, CA · Clinic/Center, Radiology | $4.6M |
| 14 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $4.6M |
| 15 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $4.6M |
| 16 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $4.5M |
| 17 | 1649726738 | $4.3M |
| 18 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $4.0M |
| 19 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $3.9M |
| 20 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $3.8M |
Showing top 20 of 3K providers billing this code