CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Fort Duncan Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $5,012
Cash Discount Price: $4,335
vs. Medicare Baseline: 14.06x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Fort Duncan Medical Center is $5,012. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,335. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 14.06x the Medicare baseline. Located in 3333 N Foster Maldonado Blvd, Eagle Pass, TX.

Cash / Self-Pay

$4,335

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,012

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: $4,335 (1216%)

Insurance Median: $5,012 (1406%)

Cash: $4,335 (1216% of Medicare)

Ins. Median: $5,012 (1406% 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 1406% of the Medicare baseline (a markup of 1306%). 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	$464	130%
Driscoll	$478	134%
Molina	$487	137%
United_Healthcare	$487 - $5,012	137%
Blue_Cross_Blue_Shield_Of_Tx	$1,260 - $1,535	354%
Eagle_Pass_Isd	$4,063 - $5,257	1140%
Cigna	$5,914 - $7,653	1659%
Aetna	$7,464 - $9,658	2094%
Healthsmart	$8,976 - $11,614	2518%
Multiplan	$8,976 - $11,614	2518%

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 $4,335.
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 Fort Duncan Medical Center 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.