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District of Columbia

Cost of a Brain MRI Visit
in District of Columbia

Reviewed by Momentary Medical Group West PC

The District of Columbia boasts the highest physician-to-population ratio in the nation, with concentrated medical expertise across its compact urban geography. Brain MRI consultations in DC typically reflect negotiated insurance rates between $90 and $879, with a median cost of $310 based on current transparency data from 333 active providers. Patients can browse all Brain MRI specialists throughout the District to compare credentials and costs before scheduling their appointment.

Average

$426

Median

$310

Lowest

$90

Highest

$879

Providers

333

National avg: $478District of Columbia: $426

11% below national average

Compare Similar Procedures

How does mri brain compare to related procedures in District of Columbia?

ProcedureCPTLowMedianHighProviders
MRI Knee

MRI of the knee without contrast

73721$53$201$560333
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$59$191$527331
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$72$266$827350
CT Chest

CT scan of the chest with contrast

71260$49$165$454338

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 70553MRI brain without contrast, then with contrast). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 70553 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 70553 (MRI brain without contrast, then with contrast), as mandated by the CMS Price Transparency Rule.

What CPT 70553 covers: the provider's professional fee for mri brain. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Brain MRI Visit Costs Vary Across District of Columbia

District of Columbia's medical costs run approximately 20% above national averages, driven by high real estate costs and the concentration of federal employees with premium insurance coverage. The compact urban geography creates unique market dynamics with all providers serving essentially the same metropolitan population.

Urban vs. Rural Provider Availability

Unlike most states, DC has no rural areas, creating uniform access to Brain MRI services across all neighborhoods. This urban concentration means patients typically have multiple imaging options within a short commute, fostering price competition.

Facility Type and Overhead Costs

Hospital-based outpatient imaging at major systems like MedStar and George Washington University Hospital typically charge premium rates due to higher overhead costs. Independent imaging centers and outpatient facilities often provide the same quality Brain MRI studies at significantly lower negotiated rates.

Insurance Market Competition in District of Columbia

CareFirst BCBS, UHC, and Aetna compete aggressively for the large federal employee market in DC, leading to well-negotiated rates for imaging services. The Federal Employee Health Benefits Program creates additional pricing pressure, as these plans cover many area residents.

Physician Supply and Demand in District of Columbia

With 333 active Brain MRI providers serving a population of just over 700,000, District of Columbia has exceptional specialist density that should theoretically moderate pricing. However, high demand from the affluent, well-insured population and medical tourism from surrounding states maintains upward pressure on costs.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Brain MRI Costs in District of Columbia

What is the average cost of a Brain MRI visit in District of Columbia without insurance?

Without insurance, Brain MRI studies in District of Columbia typically cost between $90 and $879, with a median price of $310 based on negotiated rates from 333 providers. Self-pay patients often receive discounts of 30-50% off these rates, making the actual cost more affordable. Many facilities offer payment plans to help manage the expense.

Does District of Columbia Medicaid cover Brain MRI visits?

Yes, District of Columbia expanded Medicaid covers Brain MRI studies when medically necessary with physician referral. Prior authorization is typically required, and the study must be ordered to investigate specific neurological symptoms or conditions. Coverage includes both the imaging procedure and radiologist interpretation.

How do I find an affordable Brain MRI near me in District of Columbia?

Compare costs across DC's 333 Brain MRI providers, as prices can vary significantly between hospital-based and independent imaging centers. Ask about self-pay discounts if uninsured, and consider outpatient imaging facilities which often charge less than hospital-based centers. Community health centers may also provide referrals to lower-cost imaging options.

What is the difference in cost between an initial consultation and a follow-up visit?

Brain MRI is typically a single imaging procedure rather than consultation visits, with costs ranging from $90 to $879 based on facility and insurance negotiations. If you need radiologist consultation to discuss results, this may involve additional professional fees. Follow-up MRI studies are generally priced the same as initial studies.

Can I use an HSA or FSA to pay for a Brain MRI visit in District of Columbia?

Yes, Brain MRI studies are qualified medical expenses eligible for HSA and FSA reimbursement when ordered by a physician for medical diagnosis. Keep all receipts and documentation from your imaging facility, including the physician's order and radiology report. These accounts can cover both the imaging procedure and any associated consultation fees.

How does telemedicine affect the cost of seeing a Brain MRI in District of Columbia?

While Brain MRI requires in-person imaging, telemedicine can reduce associated consultation costs for discussing results or follow-up care. Many DC radiologists offer virtual consultations to review imaging findings, potentially saving on office visit fees. Some imaging centers also provide online scheduling and result delivery, streamlining the overall process.

Click a state to compare costs

Average Visit Cost

$265
$1,291

Office visit (CPT 70553)

Compare With Other States

RankStateAverage
1North Dakota
Range: $221$3,100
$1,291
2Minnesota
Range: $88$3,100
$1,247
3Wisconsin
Range: $80$2,464
$975
4Nevada
Range: $135$1,458
$698
5Georgia
Range: $101$1,468
$653
6Hawaii
Range: $88$1,014
$577
7Massachusetts
Range: $90$1,060
$567
8Maine
Range: $178$1,023
$548
9Wyoming
Range: $100$1,112
$537
10Utah
Range: $94$1,045
$510
11Nebraska
Range: $208$793
$504
12New Mexico
Range: $98$1,063
$492
13New Hampshire
Range: $129$993
$489
14Washington
Range: $100$863
$489
15North Carolina
Range: $99$988
$485
16Iowa
Range: $95$842
$483
17Colorado
Range: $95$1,015
$475
18Indiana
Range: $85$1,014
$471
19Louisiana
Range: $92$766
$468
20Alaska
Range: $97$948
$454
21South Dakota
Range: $247$552
$450
22West Virginia
Range: $98$687
$446
23Vermont
Range: $82$983
$443
24Virginia
Range: $76$970
$437
25Michigan
Range: $80$917
$430
26Rhode Island
Range: $88$879
$429
27Idaho
Range: $88$793
$428
28District of Columbia
Range: $90$879
$426
29Oregon
Range: $103$623
$426
30Illinois
Range: $93$842
$417
31New York
Range: $82$926
$417
32Tennessee
Range: $109$823
$417
33Montana
Range: $100$590
$414
34Kansas
Range: $107$818
$401
35Kentucky
Range: $83$842
$398
36South Carolina
Range: $82$829
$390
37Alabama
Range: $88$811
$384
38Pennsylvania
Range: $57$879
$384
39Oklahoma
Range: $85$817
$377
40Mississippi
Range: $89$811
$376
41New Jersey
Range: $63$830
$374
42Ohio
Range: $78$813
$373
43Texas
Range: $90$721
$355
44Maryland
Range: $46$737
$351
45Delaware
Range: $98$596
$345
46Missouri
Range: $115$628
$342
47Arkansas
Range: $104$630
$340
48Connecticut
Range: $55$777
$337
49Florida
Range: $35$811
$302
50Arizona
Range: $100$550
$288
51California
Range: $55$654
$265
MRI Brain in Other States