CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Las Palmas Medical Center A Campus of Lpds Healthc

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $2,894
  • Cash Discount Price: $14,075
  • vs. Medicare Baseline: 11.87x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Las Palmas Medical Center A Campus of Lpds Healthc is $2,894. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,075. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.87x the Medicare baseline. Located in 1801 North Oregon Street, El Paso, TX.
Cash / Self-Pay
$14,075

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,894

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: $14,075 (5774%)
Insurance Median: $2,894 (1187%)
Cash: $14,075 (5774% of Medicare)
Ins. Median: $2,894 (1187% 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 1187% of the Medicare baseline (a markup of 1087%). 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 - $212 83%
Centennial Care $202 83%
St David’S Hospice $202 83%
Western Sky Community Care $202 83%
United $204 - $6,334 84%
El Paso First Health Plans $208 85%
Aetna $218 - $2,894 89%
Molina Healthcare $222 91%
Humana $253 104%
Blue Cross Blue Shield $732 - $1,247 300%
Superior Health Plan $844 346%
Cigna $1,520 - $3,989 624%
Bienvivir Senior Health $2,393 982%
Healthcare Highways $2,702 1108%
First Health $6,334 2598%
Healthsmart Preferred Care $6,334 - $7,741 2598%
Emerging Therapy Solutions $6,474 - $9,712 2656%
Sheriff'S Dept El Paso County Detention $7,038 2887%
Ysleta Del Sur Pueblo $7,038 2887%
Southwest Medical Provider Network $7,741 3176%
Prime Health $8,445 3464%
Texas Workforce Commission $8,867 3637%
Multiplan $9,149 3753%
Phcs $9,149 3753%
Integrated Medical Systems $9,852 4042%
Samsa $9,852 4042%
Danmark - International Contract $10,556 4330%
Galaxy Health Network $10,556 4330%
Medcorp Southwest $11,260 4619%
Usa Managed Care $11,542 - $13,371 4735%
Affiliated Healthcare $11,964 4908%
National Provider Network $12,668 5197%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 North Oregon Street, El Paso, TX 79902
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals