CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Medical City North Hills

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $907
  • Cash Discount Price: $7,289
  • vs. Medicare Baseline: 3.72x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Medical City North Hills is $907. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,289. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.72x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$7,289

Average discount available for prompt cash payment at this facility.

Insurance Median
$907

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: $7,289 (2990%)
Insurance Median: $907 (372%)
Cash: $7,289 (2990% of Medicare)
Ins. Median: $907 (372% 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 372% of the Medicare baseline (a markup of 272%). 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.

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
Amerigroup $202 83%
Cook Childrens Health Plan $202 83%
Parkland Community Health Plan $202 83%
United $202 - $1,567 83%
Cigna $212 - $5,831 87%
Aetna $218 - $5,299 89%
Molina $222 - $226 91%
Humana $253 - $631 104%
Blue Cross Blue Shield $277 - $3,236 114%
Imaging Providers Of Texas $450 185%
Superior Health Plan $510 209%
Unicare $1,531 - $7,289 628%
Healthcare Highways $2,464 1011%
City Of Mckinney $3,280 1346%
Fidelis Securecare $3,280 1346%
National Choicecare $3,645 1495%
Pc Texas Partners $4,009 1645%
Physicians Coop Of Tx $4,009 1645%
Rockport Health Group $4,009 1645%
Averde Health, Inc $4,228 1734%
Magellan Behavior Health $4,374 1794%
Coastal Comp Health Networks $5,103 2093%
Mega Life $5,103 2093%
Healthsmart Preferred Care $5,467 2243%
Lewisville Isd/Dls Consulting $5,467 2243%
Usa Managed Care $5,831 2392%
Usc Health Services $5,831 2392%
Galaxy Health Network $6,196 2542%
Independent Medical Systems $7,289 2990%
National Healthcare Solutions $7,289 2990%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals