CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Medical City Dallas Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $1,149
  • Cash Discount Price: $8,747
  • vs. Medicare Baseline: 3.22x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Medical City Dallas Hospital is $1,149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,747. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.22x the Medicare baseline. Located in 7777 Forest Lane, Dallas, TX.
Cash / Self-Pay
$8,747

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,149

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: $8,747 (2454%)
Insurance Median: $1,149 (322%)
Cash: $8,747 (2454% of Medicare)
Ins. Median: $1,149 (322% 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 322% of the Medicare baseline (a markup of 222%). 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
Texas Health Network $323 91%
Amerigroup $328 92%
Cook Childrens Health Plan $328 92%
Parkland Community Health Plan $328 92%
United $328 - $1,881 92%
Cigna $345 - $4,811 97%
Aetna $354 - $5,152 99%
Molina $361 - $367 101%
Humana $410 - $1,062 115%
Imaging Providers of Texas $450 126%
Blue Cross Blue Shield $462 - $3,884 130%
Superior Health Plan $612 172%
UnitedHealthcare $962 - $7,785 270%
Religious Order of Jehovah Witness $1,749 491%
Unicare $2,099 - $8,747 589%
Healthcare Highways $2,956 829%
Healthcare Highways Ntx $3,061 859%
Prominence Health Plan $3,499 982%
City of McKinney $3,936 1104%
Fidelis Securecare $3,936 1104%
Emerging Therapy Solutions $4,286 - $6,123 1202%
National Choicecare $4,373 1227%
PC Texas Partners $4,811 1350%
Physicians Coop of Tx $4,811 1350%
Rockport Health Group $4,811 1350%
Texas Instruments $4,898 1374%
Averde Health, Inc $5,073 1423%
Coastal Comp Health Networks $6,123 1718%
Mega Life $6,123 1718%
Healthsmart Preferred Care $6,210 1742%
Lewisville Isd/Dls Consulting $6,560 1840%
USA Managed Care $6,998 1963%
USC Health Services $6,998 1963%
Galaxy Health Network $7,435 2086%
Independent Medical Systems $8,747 2454%
National Healthcare Solutions $8,747 2454%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7777 Forest Lane, Dallas, TX 75230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals