CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Baylor Scott & White Medical Center - Temple

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,711
Cash Discount Price: $2,093
vs. Medicare Baseline: 7.02x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Baylor Scott & White Medical Center - Temple is $1,711. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,093. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.02x the Medicare baseline. Located in 2401 S 31St St, Temple, TX.

Cash / Self-Pay

$2,093

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,711

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $2,093 (859%)

Insurance Median: $1,711 (702%)

Cash: $2,093 (859% of Medicare)

Ins. Median: $1,711 (702% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 702% of the Medicare baseline (a markup of 602%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Superior Health Plan	$204 - $227	84%
Baylor Scott & White Health Plan	$216 - $1,855	89%
Humana	$227 - $2,442	93%
Triwest	$227	93%
Corvel	$238	98%
Prime Health Services	$238	98%
American Health Plan	$239	98%
Blue Cross Blue Shield	$239 - $1,114	98%
Procare Advantage	$239	98%
UnitedHealthcare	$261 - $2,400	107%
Injury Management Organization	$282	116%
Careworks Fka Rockport	$340	139%
Sedgwick	$340	139%
Texas Workforce Commission	$1,221	501%
Imagine Health	$1,622	665%
Cigna	$1,711 - $2,013	702%
Aetna	$1,918	787%
Employers Health Network	$1,918	787%
Midcoast	$1,918	787%
Quiktrip	$1,918	787%
University Of Mary Hardin-Baylor	$2,014	826%
Independent Medical System	$2,093	859%
Curative	$2,267	930%
First Health	$2,442	1002%
Healthsmart	$2,442 - $2,616	1002%
Bluebell Creameries	$2,616	1073%
Private Health Care System	$2,616	1073%
Three Rivers	$3,139	1288%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,093.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center - Temple is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.