CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Knapp Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $366
  • Cash Discount Price: $348
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Knapp Medical Center is $366. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.03x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$348

Average discount available for prompt cash payment at this facility.

Insurance Median
$366

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: $348 (98%)
Insurance Median: $366 (103%)
Cash: $348 (98% of Medicare)
Ins. Median: $366 (103% 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.

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
Corvel $244 68%
Zelis Healthcare Fka Stratose $262 74%
Provider Network Of America $279 78%
Provider Select $305 86%
Three Rivers $314 88%
Superior Health Plan $328 - $666 92%
UnitedHealthcare $328 - $666 92%
Americas Choice Provider Network (Acpn) $338 95%
Division Of Immigration Health $342 96%
Molina $348 - $706 98%
Blue Cross Blue Shield $349 - $1,378 98%
Cigna $349 - $652 98%
Coventry (First Health) $349 98%
Medicare (plans) $349 98%
Prime Health Services $349 98%
Texas Bluebonnet Health Plan $349 - $575 98%
Tricare $349 98%
Veterans Evaluation Services $349 98%
Wellmed Aarp Ma Fka Physicians Health Choice $349 98%
Worker Comp $349 98%
Multiplan $366 103%
Provider Partners Health Plan $366 103%
Imperial Insurance Companies $370 104%
Texas Oncology Pa Op $436 122%
Frontier Health (Fka Asserta Health) $453 127%
Magic Valley Electric Cooperative $453 127%
Employer Direct Healthcare $488 137%
Corporate Remedies (Wc) $523 147%
Naphcare $541 152%
Occunet $610 171%
Medicaid / KanCare $632 - $652 177%
Baker Benefits Administrators $697 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals