CPT70551

MRI Brain Without Contrast Cost in New Jersey

Mri brain stem w/o dye

$439Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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New Jersey Medicare physician rate (2026)

+10.7% vs national

Average of 2 localities. Office range $210.89–$221.69.

New Jersey (Hospital)
$216.29
Facility physician fee
Private plan est.
$281–$433
~130–200% of Medicare
Cash / self-pay est.
$173–$324
~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
$323
$195 physician + $128 facility
Physician fee alone
$195
Only 44% of the hospital total

Choosing a surgery centre over a hospital saves about $116 on the Medicare allowed amount for mri brain without 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 New Jersey

Look up your ZIP code to see whether northern or rest-of-state New Jersey pricing applies, from Newark, Jersey City, and Bergen County down to Trenton, Cherry Hill, and the Jersey Shore.

What mri brain without contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in New Jersey 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 New Jersey

National office$195.40
National hospital (physician)$195.40
New Jersey vs national11% above the national office rate of $195.40

Where New Jersey ranks for this CPT

Rank (lowest physician fee first)#47 of 51
Lowest stateArkansas ($173.48)
Highest stateAlaska ($227.30)

CPT 70551 by New Jersey locality

LocalityOffice
northern nj$221.69
rest of new jersey$210.89

PE GPCI ranges from 1.092 to 1.160 in New Jersey. That index is why the same CPT is not one price statewide.

MRI Brain Without Contrast and how New Jersey is priced

New Jersey is split into two payment localities: northern New Jersey, which carries higher adjustments befitting its position in the New York metropolitan orbit, and the rest of the state to the south. Both localities price above the national average, but the northern one ranks among the more expensive in the country. The dividing line means a procedure in Bergen County is approved at a higher amount than the same one in Cherry Hill or along the shore. South Jersey's pricing gravity pulls toward Philadelphia even though its locality is its own.

New Jersey may be the ultimate cross-border care state: North Jersey residents flow into Manhattan hospitals, South Jersey residents into Philadelphia's academic centers, and the state's own large systems compete hard in between. Dense population means most residents have multiple hospitals within a short drive, which is real negotiating leverage for a cash-pay patient. The shore counties see seasonal population surges that strain capacity each summer.

This procedure: A brain MRI without contrast uses a powerful magnet and radio waves, no radiation, to produce detailed pictures of the brain. It is ordered for headaches with warning signs, dizziness, memory concerns, seizure evaluation, or suspected multiple sclerosis. You lie still inside the scanner tube for 20 to 40 minutes while it makes loud knocking sounds; earplugs are provided, and no needles are involved for this non-contrast version.

What Is MRI Brain Without Contrast?

A brain MRI without contrast uses a powerful magnet and radio waves, no radiation, to produce detailed pictures of the brain. It is ordered for headaches with warning signs, dizziness, memory concerns, seizure evaluation, or suspected multiple sclerosis. You lie still inside the scanner tube for 20 to 40 minutes while it makes loud knocking sounds; earplugs are provided, and no needles are involved for this non-contrast version.

What Affects the Cost

  • Hospital-based MRI departments often charge several times what freestanding imaging centers charge for the identical scan.
  • The radiologist's interpretation fee is separate from the scan fee, and the two may come from different billers.
  • If the radiologist protocol adds contrast after reviewing initial images, the study converts to a costlier code and adds injection charges.
  • Claustrophobic patients who need sedation or an open-bore magnet add medication, monitoring, or specialty-equipment costs.
  • After-hours or stat interpretation requests can carry premium charges at some facilities.

Questions to Ask Before Booking

  • 1.Has prior authorization been approved, and for which specific facility?
  • 2.What is the price at a freestanding imaging center versus the hospital for this exact scan?
  • 3.Is the radiologist's reading fee included in the quote or billed separately?
  • 4.Could the protocol change to include contrast, and what would that cost?
  • 5.If I am claustrophobic, what would sedation or an open MRI add?

MRI Brain Without Contrast in New Jersey: questions

The 2026 Medicare physician office rate for CPT 70551 averages $216.29 across 2 New Jersey localities, from $210.89 in REST OF NEW JERSEY to $221.69 in NORTHERN NJ. The hospital physician rate averages $216.29. Enter a ZIP for the exact locality.

Yes. CMS splits New Jersey into 2 payment localities. For this CPT the office physician fee spans $10.80 from the lowest to highest locality. Look up your ZIP code to see whether northern or rest-of-state New Jersey pricing applies, from Newark, Jersey City, and Bergen County down to Trenton, Cherry Hill, and the Jersey Shore.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $43 for the office physician line or $43 for the hospital physician line in New Jersey. Medigap may cover that 20%. This is not the hospital facility fee.

No. $216.29 is only the physician's share. Adding Medicare's facility payment brings the total to about $439 in a hospital outpatient department, or about $323 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. New Jersey ranks #47 of 51 states on the physician line (11% above the national office rate of $195.40).

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.