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Prices onlyNo diagnosis or treatment advice. Confirm your price in writing before service.

MyCarePrice

The same scan can cost more at a hospital. See the anchor before you book.

MyCarePrice shows the verified Medicare rate for common outpatient procedures and explains, in plain billing language, why the setting changes the bill. Prices only here. We do not diagnose, recommend treatment, or tell you whether you should get a test.

Outpatient prices - Medicare anchors - Facility-type explained

CPT 70551Magnetic resonance imaging, brain (including brain stem); without contrast material

Medicare rate, not a self-pay price

Verified 2026-10-18. Michigan Locality 01, other localities differ.

Professional (26)
$69.04
CMS Physician Fee Schedule CY2026 via WPS GHA, Michigan Locality 01, CY2026
Technical (TC)
$123.61
CMS Physician Fee Schedule CY2026 via WPS GHA, Michigan Locality 01, CY2026
Hospital OPPS facility line
$243.77
APC 5523, CMS OPPS CY2026, October 2026 Addendum A and B, CY2026. National unadjusted.

No total: each layer is billed separately

Try the Price Anchor Explorer Browse 30 procedures

Price Anchor Explorer

Pick a procedure and a facility type. You will see the verified Medicare anchor and what changes with the setting. No invented self-pay numbers.

Example - pick your procedure. The first procedure and the hospital outpatient setting are preselected only to show how the explorer works. Change either one to see your own anchor.

Imaging, lab, and procedure departments located in or owned by a hospital, including off-campus hospital departments

Saved on this device only. Nothing you pick here is sent or shared.

MRI Without Contrast

CPT 70551

Magnetic resonance imaging, brain (including brain stem); without contrast material

Medicare rate (anchor, not a self-pay price)

Physician Fee Schedule anchor

$192.65

Global (professional + technical)

Professional (26)
$69.04
Technical (TC)
$123.61

CMS Physician Fee Schedule CY2026 via WPS GHA, Michigan Locality 01 - CY2026. Verified 2026-10-18.

Medicare rate (anchor, not a self-pay price)

Hospital outpatient (OPPS) anchor

$243.77

APC 5523 - Level 3 Imaging without Contrast (single-service, national unadjusted, facility portion only)

Composite APC 8007: $537.85 (multi-study only, national unadjusted).

Single-service APC paid to the hospital when this code is billed on its own (status indicator Q3). Composite APC 8007 (MRI and MRA without Contrast Composite) applies only when the composite rules are met, typically two or more qualifying studies on one claim; it is shown separately as multi-study only. Professional fee is billed separately.

CMS OPPS CY2026, October 2026 Addendum A and B - CY2026. Verified 2026-10-22.

What this means for Hospital outpatient

In a hospital outpatient department Medicare pays two parts: the OPPS facility payment (when an APC applies) and the PFS professional fee. That two-part structure is why the same CPT code usually costs more at a hospital than at an imaging center or office that bills a single global amount. Your cash quote should list facility and professional portions separately. Confirm the all-in price in writing before service.

Facility lever: Ask whether the MRI will be performed in a hospital outpatient department or a freestanding imaging center, and get the cash price for each setting in writing. The scan and report are the same CPT code in both places.

Full procedure pageHospital Outpatient Department explainedHow anchors are verified

Summary: MRI Without Contrast at each facility type

Take this summary to your booking call. CPT 70551. Ask each setting for its all-in cash price for this exact code, and confirm it in writing before service.

Hospital Outpatient Department

Anchor that applies: OPPS single-service facility anchor $243.77 (APC 5523, national unadjusted, facility portion only), plus the professional fee.

How Medicare pays: OPPS (APC-based facility payment) + Physician Fee Schedule professional fee

Facility fee: Yes - separate OPPS facility payment to the hospital

Ambulatory Surgery Center

Anchor that applies: No facility professional anchor is published for this code. Ask the ASC for its all-in cash price by CPT code.

How Medicare pays: ASC payment system (procedure-based, generally below OPPS) + Physician Fee Schedule professional fee

Facility fee: Yes - ASC facility fee, typically lower than hospital OPPS for the same procedure

Independent Imaging Center

Anchor that applies: PFS global anchor $192.65 (professional plus technical in one amount).

How Medicare pays: Physician Fee Schedule global payment when the center owns the equipment and employs or contracts the radiologist

Facility fee: No separate hospital facility fee - the technical component is inside the global PFS payment

Physician Office

Anchor that applies: PFS global anchor $192.65 (professional plus technical in one amount).

How Medicare pays: Physician Fee Schedule nonfacility payment (higher practice-expense component than facility rate)

Facility fee: No separate facility fee - office overhead is inside the nonfacility PFS rate

Anchors: CMS Physician Fee Schedule CY2026 via WPS GHA, Michigan Locality 01 - CY2026, verified 2026-10-18; OPPS CMS OPPS CY2026, October 2026 Addendum A and B - CY2026, verified 2026-10-22. Medicare anchors only, not self-pay prices.

This explorer shows Medicare anchors only. Medicare payment is not your self-pay price. Self-pay cash prices are set by each facility and are not published on this page unless verified from a public source under Procedure Price Method v1.0. Always confirm your price in writing before service, including whether professional, facility, anesthesia, and pathology are included.

Next step for the booking call

Ask for the cash price - exact wording

How prices work

A procedure bill is several lines, not one number

Each layer comes from a different party and is priced on its own. This site never adds them into an invented total.

Layer 1

Professional fee

The clinician's own work, such as the radiologist reading a scan. It often arrives as a separate bill.

Read how it bills Layer 2

Facility payment

The room, equipment, nursing and supplies. A hospital bills it under OPPS, a surgery center under the ASC system.

Read how it bills Layer 3

Anesthesia

When it applies, anesthesia bills separately, from its own group, on its own claim.

Read how it bills Layer 4

Pathology

If tissue is sent to a lab, the lab bills on its own, often weeks after the procedure.

Read how it bills
Imaging CPT 70551 MRI Without Contrast Medicare PFS global anchor $192.65 Imaging CPT 70553 MRI With Contrast Medicare PFS global anchor $312.34 Imaging CPT 74177 CT Abdomen and Pelvis Medicare PFS global anchor $294.96 Imaging CPT 70450 CT Head Medicare PFS global anchor $105.23

How to use this site: Find your procedure, note the CPT code and the Medicare anchor, then ask the facility for the cash price for that exact code in that exact setting. Confirm the all-in price in writing before service.

  • CMS CY2026 sources named
  • Verified 2026-10-18
  • No invented self-pay ranges
  • Prices only - no medical advice

30 procedures

All procedures

Each page gives the CPT code, what the price includes and excludes, why prices vary, and the facility-type lever. Where a Medicare anchor was verified from a named CMS source, it is shown. Self-pay ranges are not invented.

Imaging CPT 70551

MRI Without Contrast

Magnetic resonance imaging, brain (including brain stem); without contrast material

Medicare PFS global anchor $192.65

Imaging CPT 70553

MRI With Contrast

Magnetic resonance imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences

Medicare PFS global anchor $312.34

Imaging CPT 74177

CT Abdomen and Pelvis

Computed tomography, abdomen and pelvis; with contrast material(s)

Medicare PFS global anchor $294.96

Imaging CPT 70450

CT Head

Computed tomography, head or brain; without contrast material

Medicare PFS global anchor $105.23

Imaging CPT 76700

Ultrasound Abdomen

Ultrasound, abdominal, real time with image documentation; complete

Medicare PFS global anchor $112.60

Imaging CPT 77067

Screening Mammogram

Screening mammography, bilateral (2-view study of each breast), including computer-aided detection when performed

Medicare PFS global anchor $123.91

Endoscopy CPT 45378

Colonoscopy

Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Medicare PFS nonfacility $378.46

Endoscopy CPT 43235

Upper Endoscopy (EGD)

Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Medicare PFS nonfacility $319.52

Imaging CPT 71046

X-Ray Chest

Radiologic examination, chest; 2 views

Medicare PFS global anchor $32.64

Imaging CPT 93306

Echocardiogram

Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography and with color flow Doppler echocardiography

Medicare PFS global anchor $193.43

Imaging CPT 72148

MRI Lumbar Spine

Magnetic resonance imaging, spinal canal and contents, lumbar; without contrast material

Medicare PFS global anchor $189.10

Imaging CPT 73721

MRI Knee

Magnetic resonance imaging, any joint of lower extremity; without contrast material

Medicare PFS global anchor $200.97

Imaging CPT 71250

CT Chest

Computed tomography, thorax, diagnostic; without contrast material

Medicare PFS global anchor $130.87

Imaging CPT 74176

CT Abdomen and Pelvis Without Contrast

Computed tomography, abdomen and pelvis; without contrast material

Medicare PFS global anchor $181.27

Imaging CPT 76856

Ultrasound Pelvis

Ultrasound, pelvic (nonobstetrical), real time with image documentation; complete

Medicare PFS global anchor $103.52

Imaging CPT 76830

Ultrasound Transvaginal

Ultrasound, transvaginal

Medicare PFS global anchor $115.68

Imaging CPT 76705

Ultrasound Abdomen Limited

Ultrasound, abdominal, real time with image documentation; limited (for example single organ, quadrant, or follow-up)

Medicare PFS global anchor $84.80

Imaging CPT 77066

Diagnostic Mammogram

Diagnostic mammography, including computer-aided detection when performed; bilateral

Medicare PFS global anchor $154.56

Imaging CPT 77080

DXA Bone Density

Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (for example hips, pelvis, spine)

Medicare PFS global anchor $38.75

Imaging CPT 76536

Ultrasound Thyroid and Neck

Ultrasound, soft tissues of head and neck (for example thyroid, parathyroid, parotid), real time with image documentation

Medicare PFS global anchor $106.36

Imaging CPT 72100

X-Ray Lumbar Spine

Radiologic examination, spine, lumbosacral; 2 or 3 views

Medicare PFS global anchor $39.73

Imaging CPT 93308

Echocardiogram Limited

Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study

Medicare PFS global anchor $99.23

Testing CPT 95810

Sleep Study (Polysomnography)

Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist

Medicare PFS global anchor $659.23

Endoscopy CPT 45380

Colonoscopy With Biopsy

Colonoscopy, flexible; with biopsy, single or multiple

Medicare PFS nonfacility $477.34

Endoscopy CPT 43239

Upper Endoscopy (EGD) With Biopsy

Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple

Medicare PFS nonfacility $413.41

Surgery CPT 64721

Carpal Tunnel Release

Neuroplasty and/or transposition; median nerve at carpal tunnel

Medicare PFS nonfacility $495.26

Surgery CPT 66984

Cataract Surgery

Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (for example irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation

Medicare anchor on page

Surgery CPT 29881

Knee Arthroscopy (Meniscectomy)

Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including debridement or shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed

Medicare anchor on page

Therapy CPT 97161

Physical Therapy Evaluation

Physical therapy evaluation: low complexity, typically 20 minutes face-to-face with the patient and/or family

Medicare PFS nonfacility $96.48

Testing CPT 93015

Cardiovascular Stress Test

Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report

Medicare PFS nonfacility $72.73

Why the facility matters more than the machine

Medicare pays imaging and endoscopy under two different logics. A hospital outpatient department bills a facility payment under OPPS plus a professional fee. An imaging center or office usually bills one global amount under the Physician Fee Schedule. Same CPT code, different payment system.

Hospital Outpatient Department

OPPS (APC-based facility payment) + Physician Fee Schedule professional fee

Facility fee Yes - separate OPPS facility payment to the hospital

Ambulatory Surgery Center

ASC payment system (procedure-based, generally below OPPS) + Physician Fee Schedule professional fee

Facility fee Yes - ASC facility fee, typically lower than hospital OPPS for the same procedure

Independent Imaging Center

Physician Fee Schedule global payment when the center owns the equipment and employs or contracts the radiologist

Facility fee No separate hospital facility fee - the technical component is inside the global PFS payment

Physician Office

Physician Fee Schedule nonfacility payment (higher practice-expense component than facility rate)

Facility fee No separate facility fee - office overhead is inside the nonfacility PFS rate

Start with How Prices Work, then compare settings on the facility-type pages.

Check a price, then line up your quotes

Three tools work with the anchors above. The directory lists the official places to check a price, run by CMS, state governments, and insurers. The worksheet holds the quotes you obtained yourself and lines them up side by side. The checker compares a final bill with the Good Faith Estimate behind it.

Price-Check Resources Directory

28 official resources: CMS Care Compare and other federal tools, state price portals and claims databases, and insurer transparency tools. Every entry shows who runs it, what it checks, its source, and its verified date.

Procedure Quote Comparison Worksheet

Enter the cash price, Good Faith Estimate, or insurer negotiated estimate you personally obtained from each facility. The worksheet compares them against the Medicare anchor. Your entries stay in your browser.

Good Faith Estimate Checker

Your bill arrived higher than the estimate. Enter one provider's estimate lines and bill lines: the checker totals both, flags the changed lines, and applies the $400 No Surprises Act dispute threshold from CMS. Your entries stay in your browser.

Patient playbook, by topic

Guides for the money conversation, grouped by topic. No medical advice, only billing and cost questions. The full guide list has every title.

Price it before care

A procedure is booked. Settle the code, the setting and the written cash price first.

Medical bills and disputes

A bill is in hand. Check it, read the insurer statement, then dispute or negotiate.

Insurance cost mechanics

Plan math: deductible, coinsurance, the yearly ceiling, premiums and tax credits.

Medicare and Medicaid costs

Observation vs inpatient, skilled nursing, and how far Medicaid reaches back.

Prescription drug costs

The Part D cap, the deductible, and spreading pharmacy costs across the year.

Procedure and billing-layer prices

Anchors for 30 procedures and how a single layer, like an ER visit level, is priced.

Low-cost care access

Income-based prices at health centers: the poverty-guideline rule and the 2026 table.

Emergency, urgent care and ambulance

Ambulance, urgent care and ER bills: the base rate, the visit level and the add-ons.

Maternity and newborn

A birth bills as several layers. See what each one is and who sends it.

Sources and verification

  • Medicare (CMS) rates are shown as a separate anchor, never blended into a self-pay range. Physician Fee Schedule anchors are CY2026, Michigan Locality 01, verified 2026-10-18. Your locality amount will differ.
  • A self-pay range appears only where it can be verified from a public source. At launch, most pages ship the Medicare anchor plus facility-type education and state that self-pay ranges are not published yet.
  • Hospital machine-readable file list prices are not presented as what patients pay. See Methodology - Procedure Price Method v1.0 for limits.
  • Every price page repeats the same rule: confirm your price in writing before service.