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Illinois

Cost of a Brain MRI Visit
in Illinois

Reviewed by Momentary Medical Group West PC

Illinois healthcare costs run approximately 10% above national averages, with Brain MRI visits typically ranging from $93 to $842 based on negotiated insurance rates. The state's 5,703 active Brain MRI providers are concentrated heavily in the Chicago metropolitan area, though rural regions maintain adequate coverage through regional health systems.

Average

$417

Median

$317

Lowest

$93

Highest

$842

Providers

5,703

National avg: $478Illinois: $417

13% below national average

Compare Similar Procedures

How does mri brain compare to related procedures in Illinois?

ProcedureCPTLowMedianHighProviders
MRI Knee

MRI of the knee without contrast

73721$69$221$5957,078
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$76$186$5536,155
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$80$289$5378,716
CT Chest

CT scan of the chest with contrast

71260$64$167$3467,047

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 Illinois

Illinois healthcare costs average 10% above national rates, driven by Chicago's high operational expenses and downstate rural access challenges. The state's geography creates distinct cost zones from expensive Loop medical districts to affordable rural imaging centers.

Urban vs. Rural Provider Availability

Chicago's abundant imaging facilities create competitive pricing, while rural counties like those in southern Illinois may have limited Brain MRI options. The Illinois Hospital Association reports significant disparities between Cook County's provider density and downstate availability. Patients in rural areas sometimes travel 50+ miles for specialized imaging, affecting overall healthcare costs.

Facility Type and Overhead Costs

Hospital-owned outpatient imaging in Illinois carries higher overhead than independent radiology centers, reflected in negotiated insurance rates. Major health systems like Northwestern Medicine and Advocate Aurora dominate the Chicago market with premium pricing structures. Freestanding imaging centers typically offer 20-30% lower costs for identical Brain MRI procedures.

Insurance Market Competition in Illinois

BCBS Illinois, UnitedHealthcare, and Aetna compete aggressively in the Chicago metro area, leading to favorable negotiated rates for consumers. Rural Illinois markets show less insurer competition, potentially resulting in higher out-of-pocket costs. The state's ACA marketplace offers additional options that can affect Brain MRI pricing and access patterns.

Physician Supply and Demand in Illinois

With 5,703 active Brain MRI providers, Illinois maintains adequate radiologist supply relative to its 12.6 million residents. This healthy provider-to-patient ratio helps moderate pricing pressure compared to shortage states. Chicago's medical training programs continuously supply new radiologists, maintaining competitive market dynamics and reasonable wait times.

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 Illinois

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

Uninsured patients in Illinois typically pay between $93 and $842 for Brain MRI scans, with a median cost around $317 based on negotiated insurance rates. Cash-pay discounts can reduce these amounts by 20-40% at many facilities. Independent imaging centers usually offer lower self-pay rates than hospital-owned facilities, making price comparison worthwhile for uninsured patients.

Does Illinois Medicaid cover Brain MRI visits?

Yes, Illinois expanded Medicaid covers Brain MRI scans when medically necessary, serving adults up to 138% of federal poverty level through managed care organizations. Prior authorization is typically required except in emergency situations. Coverage includes both the imaging procedure and radiologist interpretation, though patients may need referrals from primary care physicians depending on their managed care plan requirements.

How do I find an affordable Brain MRI near me in Illinois?

Compare prices between hospital-owned imaging centers and independent radiology practices, as costs can vary significantly across Illinois. Ask about cash-pay discounts if uninsured, and consider community health centers that may offer sliding scale fees. Rural areas sometimes have lower baseline costs than Chicago metro facilities, though travel expenses should factor into your decision-making process.

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

Brain MRI imaging costs remain consistent whether ordered during initial consultations or follow-up visits, typically ranging from $93 to $842 in Illinois. However, the physician consultation fees may differ, with new patient visits generally costing more than established patient follow-ups. The imaging center charges are separate from doctor visit fees and depend on facility type and insurance negotiated rates.

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

Yes, medically necessary Brain MRI scans qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these pre-tax dollars for deductibles, copays, and coinsurance related to your imaging studies. Keep all receipts and documentation of medical necessity for tax purposes, as cosmetic or elective imaging may not qualify for HSA/FSA reimbursement.

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

While Brain MRI scans require in-person imaging, telemedicine consultations can reduce overall costs by eliminating travel and office visit fees for result discussions. Many Illinois radiologists and neurologists offer telehealth follow-up appointments to review Brain MRI findings and discuss treatment plans. This hybrid approach can save patients time and money while maintaining quality care, especially beneficial for rural Illinois residents.

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