CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Shannon Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $3,113
Cash Discount Price: $3,437
vs. Medicare Baseline: 8.73x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Shannon Medical Center is $3,113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,437. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.73x the Medicare baseline. Located in 120 E Harris Ave., San Angelo, TX.

Cash / Self-Pay

$3,437

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,113

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: $3,437 (964%)

Insurance Median: $3,113 (873%)

Cash: $3,437 (964% of Medicare)

Ins. Median: $3,113 (873% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 873% of the Medicare baseline (a markup of 773%). 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
Care Improvement	$335	94%
Humana	$335 - $7,678	94%
Wellmed	$335	94%
Molina Healthcare - Chip	$349	98%
Wellpoint	$363 - $453	102%
Scott & White	$537	151%
Insurance Management Services	$547	153%
Insurance Services Of Lubbock	$547	153%
City Of San Angelo	$577 - $1,334	162%
Kempton Group	$671	188%
Pdh/Texas Trust	$671	188%
Ambetter / Centene	$721	202%
90 Degree Benefits	$838	235%
Caprock	$838	235%
Blue Cross Blue Shield	$1,501 - $7,198	421%
Web Tpa	$1,868 - $4,319	524%
Aetna	$2,739 - $6,334	768%
Assurant Health	$2,739 - $6,334	768%
Cigna	$2,988 - $6,910	838%
First Health	$3,112 - $7,198	873%
UnitedHealthcare	$3,237 - $7,486	908%
Healthsmart	$3,694 - $8,541	1036%

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 $3,437.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

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 70553.
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.