CMS Price Transparency Data

MRI, brain (no contrast)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $3,102
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 12.73x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at University of Texas M. D. Anderson Cancer Center is $3,102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.73x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,102

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%)
Insurance Median: $3,102 (1273%)
Ins. Median: $3,102 (1273% 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 1273% of the Medicare baseline (a markup of 1173%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Texaschildrens $51 - $1,950 21%
Tricare $59 - $3,323 24%
Vacare $59 - $1,950 24%
Medicare (plans) $83 - $1,950 34%
Blue Cross Blue Shield $107 - $3,190 44%
Cigna $150 - $3,323 62%
UnitedHealthcare $152 - $3,403 62%
Aetna $197 - $3,323 81%
Humana $389 - $3,412 160%
Ontarioministriesofhealth $480 - $3,279 197%
Beijingst.Lucia $486 - $3,323 199%
Embassyofqatar $486 - $3,323 199%
Memorialhermannhealth $486 - $3,323 199%
Emergingtherapysolutions_Cancercare $518 - $3,545 212%
Interlink_Cancercare $518 - $3,545 212%
Saudiarmedforces $518 - $3,545 212%
Uae_Medical $518 - $3,545 212%
Uaepoliceattache $518 - $3,545 212%
Healthsmart $551 - $3,766 226%
Vantage $551 - $3,766 226%
Multiplan $584 - $3,811 240%
Phcs $584 - $3,811 240%
Emergingtherapysolutions $3,323 - $3,545 1363%
Interlink $3,323 - $3,766 1363%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL