CPT70552

How Much Does an MRI Brain With Contrast Cost in West Virginia?

Mri brain stem w/dye

$438Hospital outpatient total2026 Medicare, physician + facility

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 (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in West Virginia averages $244.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 24701.
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West Virginia Medicare physician rate (2026)

-9.4% vs national

Single statewide locality.

West Virginia (Hospital)
$80.42
Physician reading only
Private plan est.
$317–$487
~130–200% of Medicare
Cash / self-pay est.
$195–$365
~80–150% of Medicare

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.

Physician reading alone
$82
Only 19% of the hospital total

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.

Your ZIP in West Virginia

Run a ZIP lookup for your part of West Virginia, whether Morgantown, Charleston, Huntington, Wheeling, the Eastern Panhandle near Martinsburg, or the southern coalfields.

What MRI brain with contrast costs at hospitals near you

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

Locked

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

For example 24701.

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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 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. In West Virginia the office and hospital physician lines for this CPT differ by $163.10.

National vs West Virginia

National office$268.88
National hospital (physician)$81.83
West Virginia vs national9% below the national office rate of $268.88

Where West Virginia ranks for this CPT

Rank (lowest physician fee first)#4 of 51
Lowest stateArkansas ($237.78)
Highest stateAlaska ($309.58)

MRI Brain With Contrast and how West Virginia is priced

West Virginia is one statewide payment locality with geographic indices among the lowest in the eastern United States, so its published Medicare rates apply identically from the Eastern Panhandle to the southern coalfields. The uniform pricing spans a state whose mountainous terrain makes actual travel to care unusually difficult relative to straight-line distances. CMS's work index floor supports the state's low-cost profile. Morgantown, Charleston, and Huntington all bill against the same geographic factors.

The state's care concentrates around its academic medical centers in Morgantown and Huntington and the capital-region hospitals in Charleston, each serving long mountain catchments. West Virginia's population is among the oldest and highest-need in the country, and hospital finances have been fragile in many counties. Eastern Panhandle residents commonly use Maryland or Virginia providers, and northern residents look to Pittsburgh.

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 West Virginia: 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 (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in West Virginia averages $244. West Virginia is a single Medicare locality, so the physician rate is the same statewide.

Not on the physician fee schedule. West Virginia uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $49 for the office physician line or $16 for the hospital physician line in West Virginia. Medigap may cover that 20%. This is not the hospital facility fee.

It depends on where the test is done. At an independent imaging center, lab or office, $243.52 is Medicare's full rate in West Virginia, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $80.42) and the hospital is paid separately, which brings the national total to up to about $438. West Virginia ranks #4 of 51 states on the non-hospital rate (9% below 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.