CMS Price Transparency Data

MRI, brain (with and without contrast)

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

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $4,520
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 12.68x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at University of Texas M. D. Anderson Cancer Center is $4,520. 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 $356.43, this hospital’s rate is 12.68x 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
$4,520

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%)
Insurance Median: $4,520 (1268%)
Ins. Median: $4,520 (1268% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1268% of the Medicare baseline (a markup of 1168%). 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 $79 - $2,841 22%
Tricare $91 - $4,843 26%
Vacare $91 - $2,841 26%
Medicare (plans) $129 - $2,841 36%
Blue Cross Blue Shield $165 - $4,649 46%
Cigna $238 - $4,843 67%
Aetna $304 - $4,843 85%
UnitedHealthcare $322 - $4,843 90%
Humana $688 - $4,972 193%
Multiplan $806 - $5,553 226%
Phcs $806 - $5,553 226%
Ontarioministriesofhealth $848 - $4,778 238%
Beijingst.Lucia $860 - $4,843 241%
Embassyofqatar $860 - $4,843 241%
Memorialhermannhealth $860 - $4,843 241%
Emergingtherapysolutions_Cancercare $917 - $5,166 257%
Interlink_Cancercare $917 - $5,166 257%
Saudiarmedforces $917 - $5,166 257%
Uae_Medical $917 - $5,166 257%
Uaepoliceattache $917 - $5,166 257%
Healthsmart $974 - $5,488 273%
Vantage $974 - $5,488 273%
Emergingtherapysolutions $4,843 - $5,166 1359%
Interlink $4,843 - $5,488 1359%

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