MRI Brain With Contrast Cost
Mri brain stem w/dye
$438Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, an MRI brain with contrast costs up to about $438 in total at a hospital outpatient department, counting both the physician and the facility. Outside a hospital, one global fee of about $269 covers the whole test, and a ZIP code adjusts every figure to your area.
- ✓Your ZIP's wage-adjusted hospital and surgery center rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
National Medicare physician rate (2026)
What the whole procedure costs
The office rate above is what an imaging center, lab or office is paid for the whole test. In a hospital, the facility bills its own fee and the physician bills only the reading. These are 2026 national Medicare amounts.
Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. For a test like this the physician in a hospital bills only the reading (the professional component); outside a hospital one global fee covers the whole test, shown in the office rate above. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Get the rate for your ZIP
CMS adjusts this CPT by locality. A five-digit ZIP is enough: no account, no insurance card.
What MRI brain with contrast costs at hospitals near you
Everything above is a national average. The hospital you pick in your area moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
For example 90001.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. For this code the office and hospital physician lines differ by $187.05.
How CMS prices CPT 70552
Work is about 22% of the office total RVU; practice expense is about 77%. Localities with a high PE GPCI move this code more when practice expense is a large share.
Office vs hospital for this code
Office (non-facility) physician rate: $268.88. Hospital (facility) physician rate: $81.83.
Medicare patients typically owe 20% of the allowed amount after the Part B deductible, about $54 for the office physician fee, before any Medigap coverage. That coinsurance does not include a hospital facility fee.
Labeled private-plan and cash ranges on this page are arithmetic multiples of Medicare, not negotiated quotes. Ask the billing office for the CPT code, the site of service, and a good-faith estimate.
MRI Brain With Contrast cost by state
2026 Medicare non-hospital rate for CPT 70552, averaged across each state's localities. Open a state for its locality table and full cost breakdown.
What Is MRI Brain With Contrast?
A brain MRI with contrast adds an IV injection of gadolinium dye partway through the scan to highlight areas with increased blood flow or a disrupted blood-brain barrier, such as tumors, infections, or active inflammation. The experience matches a standard brain MRI, lying still in the scanner for 30 to 45 minutes, plus a small IV placed in your arm. The dye is generally well tolerated and passes in your urine within a day.
What Affects the Cost
- –The gadolinium contrast agent itself is billed as a separate supply line, with newer agents costing more.
- –The IV placement and injection may add administration charges depending on the biller.
- –Some facilities require a recent kidney function blood test before giving contrast, adding a lab charge.
- –Facility choice, hospital versus freestanding center, remains the dominant price variable for any MRI.
- –The radiologist's professional fee for a contrast study is higher than for a non-contrast scan.
How It Is Billed
CPT 70552 means contrast only, without a preceding non-contrast sequence, which is a less common protocol than 70553; verify which one was actually performed if the bill seems off. The contrast material appears as its own HCPCS supply code alongside the scan, and hospitals bill technical and professional components separately. A creatinine blood test ordered to clear your kidneys for gadolinium is billed by the lab as a distinct claim.
Insurance & Coverage Notes
Prior authorization rules are the same as for any advanced brain imaging: commercial plans almost always require approval, and the authorization specifies whether contrast was approved, so a mismatch between the approved and performed protocol can cause a denial. Patients with kidney disease may need alternative imaging, which restarts the authorization process. Medicare Part B covers medically necessary contrast MRI with standard 20 percent coinsurance and no prior authorization.
Questions to Ask Before Booking
- 1.Does my authorization specifically cover a contrast study, not just a plain MRI?
- 2.Is the contrast agent billed separately, and how much does it add?
- 3.Do I need a kidney function test first, and who bills for that?
- 4.Why is contrast-only being ordered rather than the combined without-then-with protocol?
- 5.What is the total at a freestanding center versus the hospital, including the radiologist fee?
MRI Brain With Contrast (CPT 70552): questions
Under 2026 Medicare rates, an MRI brain with contrast costs up to about $438 in total at a hospital outpatient department, counting both the physician and the facility. Outside a hospital, one global fee of about $269 covers the whole test, and a ZIP code adjusts every figure to your area.
Outside a hospital, one global fee pays for the equipment, the staff and the doctor's reading, so the office or imaging center rate for CPT 70552 is $268.88. In a hospital the physician bills only the reading, about $81.83, and the hospital is paid for the rest on its own claim.
A brain MRI with contrast adds an IV injection of gadolinium dye partway through the scan to highlight areas with increased blood flow or a disrupted blood-brain barrier, such as tumors, infections, or active inflammation. The experience matches a standard brain MRI, lying still in the scanner for 30 to 45 minutes, plus a small IV placed in your arm. The dye is generally well tolerated and passes in your urine within a day. CMS bills it as “Mri brain stem w/dye.”
It depends on the setting. At an independent imaging center, lab or office, $268.88 is Medicare's full national rate, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $81.83) and the hospital is paid separately, which takes the total to about $438. Private-plan allowed amounts are often higher than Medicare; your deductible and coinsurance still apply.
For cash-pay surgery shopping, use this CPT as the Medicare floor when you compare written quotes. How cash-price shopping works.