CPT70552

MRI Brain With Contrast Cost in Maryland

Mri brain stem w/dye

$625Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Maryland Medicare physician rate (2026)

+3.7% vs national

Average of 2 localities. Office range $271.61–$285.85.

Maryland (Hospital)
$278.73
Facility physician fee
Private plan est.
$362–$557
~130–200% of Medicare
Cash / self-pay est.
$223–$418
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$456
$269 physician + $187 facility
Physician fee alone
$269
Only 43% of the hospital total

Choosing a surgery centre over a hospital saves about $169 on the Medicare allowed amount for mri brain with contrast. Ask whether your procedure can be done at an ambulatory surgery centre.

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. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Maryland

A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.

What mri brain with contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in Maryland moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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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 centre 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.

National vs Maryland

National office$268.88
National hospital (physician)$268.88
Maryland vs national4% above the national office rate of $268.88

Where Maryland ranks for this CPT

Rank (lowest physician fee first)#41 of 51
Lowest stateArkansas ($237.78)
Highest stateAlaska ($309.58)

CPT 70552 by Maryland locality

LocalityOffice
baltimore/surr. cntys$285.85
rest of maryland$271.61

PE GPCI ranges from 1.012 to 1.073 in Maryland. That index is why the same CPT is not one price statewide.

MRI Brain With Contrast and how Maryland is priced

Maryland's Medicare physician pricing is split geographically: Baltimore and its surrounding counties form one locality, the rest of the state another, and, unusually, the Washington suburbs including Montgomery and Prince George's counties are priced inside the District of Columbia's high-cost locality rather than either Maryland one. That three-way carve means a Rockville procedure is approved at DC-area rates while an identical one in Frederick or Salisbury is not. Baltimore-area adjustments sit above rest-of-state levels but below the DC locality. Few states have their pricing shaped this much by a neighboring jurisdiction.

Maryland is also the only state with an all-payer rate-setting system for hospital services, so hospital-side billing works differently here than anywhere else in the country, though physician fees still follow the standard Medicare schedule. Baltimore's academic medical centers rank among the most prominent in the world and draw patients globally. The Eastern Shore and western Maryland are far more rural, with patients often traveling to Baltimore, Annapolis, or across state lines.

This procedure: 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 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.

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 in Maryland: questions

The 2026 Medicare physician office rate for CPT 70552 averages $278.73 across 2 Maryland localities, from $271.61 in REST OF MARYLAND to $285.85 in BALTIMORE/SURR. CNTYS. The hospital physician rate averages $278.73. Enter a ZIP for the exact locality.

Yes. CMS splits Maryland into 2 payment localities. For this CPT the office physician fee spans $14.24 from the lowest to highest locality. A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $56 for the office physician line or $56 for the hospital physician line in Maryland. Medigap may cover that 20%. This is not the hospital facility fee.

No. $278.73 is only the physician's share. Adding Medicare's facility payment brings the total to about $625 in a hospital outpatient department, or about $456 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Maryland ranks #41 of 51 states on the physician line (4% above the national office rate of $268.88).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.