CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Shannon Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,735
Cash Discount Price: $2,782
vs. Medicare Baseline: 7.12x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Shannon Medical Center is $1,735. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,782. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.12x the Medicare baseline. Located in 120 E Harris Ave., San Angelo, TX.

Cash / Self-Pay

$2,782

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,735

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: $2,782 (1141%)

Insurance Median: $1,735 (712%)

Cash: $2,782 (1141% of Medicare)

Ins. Median: $1,735 (712% 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 712% of the Medicare baseline (a markup of 612%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Molina Healthcare - Chip	$214	88%
Wellpoint	$223 - $306	91%
Care Improvement	$227	93%
Humana	$227 - $4,451	93%
Wellmed	$227	93%
Scott & White	$363	149%
Insurance Management Services	$370	152%
Insurance Services Of Lubbock	$370	152%
Kempton Group	$454	186%
Pdh/Texas Trust	$454	186%
Ambetter / Centene	$488	200%
90 Degree Benefits	$567	233%
Caprock	$567	233%
City Of San Angelo	$773	317%
Blue Cross Blue Shield	$916 - $4,173	376%
Web Tpa	$2,504	1027%
Aetna	$3,672	1506%
Assurant Health	$3,672	1506%
Cigna	$4,006	1643%
First Health	$4,173	1712%
UnitedHealthcare	$4,340	1780%
Healthsmart	$4,952	2031%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,782.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Shannon Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.