CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Medical Center of McKinney

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $907
  • Cash Discount Price: $10,417
  • vs. Medicare Baseline: 3.72x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Medical Center of McKinney is $907. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,417. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.72x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$10,417

Average discount available for prompt cash payment at this facility.

Insurance Median
$907

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: $10,417 (4273%)
Insurance Median: $907 (372%)
Cash: $10,417 (4273% of Medicare)
Ins. Median: $907 (372% 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 372% of the Medicare baseline (a markup of 272%). 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 83%
Parkland Community Health Plan $202 83%
United $202 - $1,948 83%
Cigna $212 - $8,334 87%
Aetna $218 - $7,573 89%
Molina $222 - $226 91%
Humana $253 - $6,771 104%
Blue Cross Blue Shield $294 - $4,625 121%
Imaging Providers Of Texas $450 185%
Superior Health Plan $729 299%
Unicare $2,708 - $10,417 1111%
Healthcare Highways $3,521 1444%
Fidelis Securecare $4,688 1923%
National Choicecare $5,208 2136%
Pc Texas Partners $5,729 2350%
Physicians Coop Of Tx $5,729 2350%
Rockport Health Group $5,729 2350%
Averde Health, Inc $6,042 2479%
Magellan Bh $6,250 2564%
Value Options Behavioral Health $6,250 2564%
Coastal Comp Health Networks $7,292 2991%
Mega Life $7,292 2991%
Lewisville Isd/Dls Consulting $7,813 3205%
Healthsmart Preferred Care $8,334 3419%
Usa Managed Care $8,334 3419%
Galaxy Health Network $8,854 3632%
Independent Medical Systems $10,417 4273%
National Healthcare Solutions $10,417 4273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals