CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Woodland Heights Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $526
  • Cash Discount Price: $2,527
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Woodland Heights Medical Center is $526. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,527. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.48x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
$2,527

Average discount available for prompt cash payment at this facility.

Insurance Median
$526

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: $2,527 (709%)
Insurance Median: $526 (148%)
Cash: $2,527 (709% of Medicare)
Ins. Median: $526 (148% 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
Tricare $333 - $350 93%
Veterans Eval Services $337 95%
Humana $345 97%
Medicare (plans) $345 97%
UnitedHealthcare $345 - $4,980 97%
Department Of Veterans Affairs $350 98%
Node Triwest $350 98%
Node Va $350 98%
Blue Cross Blue Shield $352 - $1,868 99%
American Health Mcr Adv $359 101%
Provider Partners Health Plan $361 101%
Node Amerigroup Mcr Adv $362 102%
Node Procare Advantage $362 102%
Superior $362 - $485 102%
Node Us Dept Of Labor $438 123%
Medicaid / KanCare $462 - $679 130%
Angelina County $526 148%
Corporate Remedies $526 148%
Partners Direct Health $526 148%
Self Pay $562 - $1,123 158%
Node Brookshire Brothers $613 172%
Node Brookshire Brothers Work Comp Tx $648 182%
Usa Managed Care $652 183%
Amerigroup $679 191%
Work Comp $701 197%
Texas Rehab Commission $2,808 788%
Cigna $4,886 1371%
Aetna $5,953 - $9,547 1670%
Multiplan $7,301 - $9,547 2048%
Unicare $7,862 2206%
Galaxy Health Network $9,547 2679%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals