CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Medical City North Hills

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,062
Cash Discount Price: $12,337
vs. Medicare Baseline: 2.98x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Medical City North Hills is $1,062. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,337. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.98x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.

Cash / Self-Pay

$12,337

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,062

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: $12,337 (3461%)

Insurance Median: $1,062 (298%)

Cash: $12,337 (3461% of Medicare)

Ins. Median: $1,062 (298% 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 298% of the Medicare baseline (a markup of 198%). 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
Amerigroup	$328	92%
Cook Childrens Health Plan	$328	92%
Parkland Community Health Plan	$328	92%
United	$328 - $2,652	92%
Cigna	$345 - $9,869	97%
Aetna	$354 - $8,969	99%
Molina	$361 - $367	101%
Humana	$410 - $1,062	115%
Imaging Providers Of Texas	$450	126%
Blue Cross Blue Shield	$454 - $5,478	127%
Superior Health Plan	$864	242%
Unicare	$2,591 - $12,337	727%
Healthcare Highways	$4,170	1170%
City Of Mckinney	$5,552	1558%
Fidelis Securecare	$5,552	1558%
National Choicecare	$6,168	1730%
Pc Texas Partners	$6,785	1904%
Physicians Coop Of Tx	$6,785	1904%
Rockport Health Group	$6,785	1904%
Averde Health, Inc	$7,155	2007%
Magellan Behavior Health	$7,402	2077%
Coastal Comp Health Networks	$8,636	2423%
Mega Life	$8,636	2423%
Healthsmart Preferred Care	$9,253	2596%
Lewisville Isd/Dls Consulting	$9,253	2596%
Usa Managed Care	$9,869	2769%
Usc Health Services	$9,869	2769%
Galaxy Health Network	$10,486	2942%
Independent Medical Systems	$12,337	3461%
National Healthcare Solutions	$12,337	3461%

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 $12,337.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical City North Hills is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
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.