CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Ascension Providence

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $358
  • Cash Discount Price: $1,394
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Ascension Providence is $358. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,394. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 6901 Medical Parkway, Waco, TX.
Cash / Self-Pay
$1,394

Average discount available for prompt cash payment at this facility.

Insurance Median
$358

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $1,394 (391%)
Insurance Median: $358 (100%)
Cash: $1,394 (391% of Medicare)
Ins. Median: $358 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $333 - $2,108 93%
Medicaid / KanCare $333 - $358 93%
Superior Chip/Chip Perinate $333 - $358 93%
Superior Star $333 - $358 93%
Superior Star Plus $333 - $358 93%
Swhp Rightcare Star $333 - $358 93%
UnitedHealthcare $333 - $358 93%
Wellpoint Star $333 - $358 93%
Medicare (plans) $350 - $361 98%
Tricare $350 98%
Va $350 98%
Aetna $357 100%
Mclennan County Indigent $358 100%
Smarthealth $490 137%
Ambetter / Centene $525 147%
Green Imaging $525 147%
Firstcare Focus Network $1,319 370%
Firstcare Hmo $1,441 404%
Cigna $2,312 649%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6901 Medical Parkway, Waco, TX 76712
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals