CMS Price Transparency Data

MRI, brain (no contrast)

Facility: The Medical Center of Southeast Texas

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $337
  • Cash Discount Price: $5,518
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at The Medical Center of Southeast Texas is $337. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,518. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.38x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$5,518

Average discount available for prompt cash payment at this facility.

Insurance Median
$337

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: $5,518 (2264%)
Insurance Median: $337 (138%)
Cash: $5,518 (2264% of Medicare)
Ins. Median: $337 (138% 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
Medsolutions $192 79%
League Medical Concepts $202 - $235 83%
Amerigroup $204 - $337 84%
Harbor Hospice $204 84%
Medicaid / KanCare $204 - $842 84%
Texas Childrens Health Plan $204 - $437 84%
Humana $206 - $1,588 85%
Healthspring $213 87%
Medicare (plans) $213 87%
Provider Partners Health Plan $213 87%
Selectcare $213 87%
Superior Healthplan $213 - $550 87%
Tihp (Texas Independence Health Plan) $213 87%
UnitedHealthcare $213 - $1,445 87%
Community Health Choice $214 - $260 88%
Community Health Choice Uhrip $214 88%
Molina Healthcare $214 - $293 88%
Caresact $217 89%
Employer Direct Healthcare $217 - $233 89%
Hospice $217 89%
Rice Land Hospice $217 89%
Texas Medical Management Partners $217 - $233 89%
Tricare $217 89%
Triwest $217 89%
Cccn Pro Advantage $224 92%
Wellcare Of Texas $224 92%
Blue Cross Blue Shield $227 - $2,279 93%
Beacon Health $235 96%
Wellpath $238 98%
Corporate Remedies $320 131%
Elap Services $420 172%
Texas Workers Compensation $433 178%
Cigna $645 - $3,863 265%
Aetna $675 - $1,335 277%
Self Pay Emergent $828 340%
Iasis Employees $1,113 457%
Dept Of Assistive And Rehabilitative Services $2,759 1132%
Magellan Behavioral Health $3,311 1358%
First Health $3,642 1494%
Galaxy Health Network $3,863 1585%
Private Healthcare Systems $3,863 1585%
Texas Municipal League $3,863 1585%
Healthsmart $4,139 1698%
Multiplan $4,414 1811%
Commercial Non-Contracted $5,518 2264%
Heart To Heart Hospice $5,518 2264%
Lifesynch $5,518 2264%
Mhnet $5,518 2264%
Self Pay - Mcd Pending 100 Percent $5,518 2264%
Single Case Agreement $5,518 2264%
United Behavioral Health $5,518 2264%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals