CMS Price Transparency Data

MRI, brain (no contrast)

Facility: De Tar Hospital Navarro

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $377
  • Cash Discount Price: $2,230
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at De Tar Hospital Navarro is $377. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,230. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.55x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$2,230

Average discount available for prompt cash payment at this facility.

Insurance Median
$377

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: $2,230 (915%)
Insurance Median: $377 (155%)
Cash: $2,230 (915% of Medicare)
Ins. Median: $377 (155% 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.

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
Medicaid / KanCare $202 - $664 83%
Scott & White $202 83%
UnitedHealthcare $202 - $2,493 83%
Blue Cross Blue Shield $206 - $1,828 85%
Superior $212 - $487 87%
Tricare $228 - $240 94%
Veterans Eval Services $228 94%
Humana $236 97%
Medicare (plans) $236 97%
Department Of Veterans Affairs $240 98%
Node Hospice Non Par Agree $240 98%
Node Triwest $240 98%
Node Va $240 98%
Aetna $243 - $4,986 100%
American Health Mcr Adv $245 101%
Provider Partners Health Plan $247 101%
Node Amerigroup Mcr Adv $248 102%
Node Procare Mcr Adv $248 102%
Industrial Rehab $276 113%
Node Us Dept Of Labor $300 123%
Node Brookshire Brothers $419 172%
Node Brookshire Brothers Work Comp Tx $446 183%
Amerigroup $478 196%
Work Comp $479 196%
Elap $527 216%
Dars $2,012 825%
Tx Workforce Commission $2,012 825%
Cigna $2,082 - $3,761 854%
Healthsmart $4,811 - $6,123 1974%
First Health $5,056 2074%
Multiplan $5,686 - $6,998 2333%
Medcorp Southwest Inc $6,123 2512%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals