Sanford Westbrook Hospital — MRI prices
← Hospital overviewVerified from Sanford Westbrook Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
12 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| MRI abdomen without contrast Outpatient | 74181 CPT | $3,805 | $3,044 | $254 – $3,577 | — | |
| MRI abdomen without contrast Inpatient | 74181 CPT | $3,805 | $3,044 | $2,093 – $3,600 | — | |
| MRI brain without contrast Outpatient | 70551 CPT | $3,828 | $3,062 | $254 – $3,598 | — | |
| MRI brain without contrast Inpatient | 70551 CPT | $3,828 | $3,062 | $2,105 – $3,621 | — | |
| MRI brain without then w cont Outpatient | 70553 CPT | $5,194 | $4,155 | $375 – $4,882 | — | |
| MRI brain without then w cont Inpatient | 70553 CPT | $5,194 | $4,155 | $2,857 – $4,914 | — | |
| MRI c spine without contrast Outpatient | 72141 CPT | $4,152 | $3,322 | $254 – $3,903 | — | |
| MRI c spine without contrast Inpatient | 72141 CPT | $4,152 | $3,322 | $2,284 – $3,928 | — | |
| MRI l spine without contrast Outpatient | 72148 CPT | $3,987 | $3,190 | $254 – $3,748 | — | |
| MRI l spine without contrast Inpatient | 72148 CPT | $3,987 | $3,190 | $2,193 – $3,772 | — | |
| MRI lower ext jt without contrast Outpatient | 73721 CPT | $3,523 | $2,818 | $254 – $3,312 | — | |
| MRI lower ext jt without contrast Inpatient | 73721 CPT | $3,523 | $2,818 | $1,938 – $3,333 | — |