CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Medical City Plano

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $929
  • Cash Discount Price: $7,822
  • vs. Medicare Baseline: 3.81x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Medical City Plano is $929. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,822. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.81x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$7,822

Average discount available for prompt cash payment at this facility.

Insurance Median
$929

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: $7,822 (3209%)
Insurance Median: $929 (381%)
Cash: $7,822 (3209% of Medicare)
Ins. Median: $929 (381% 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 381% of the Medicare baseline (a markup of 281%). 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
Amerigroup $202 83%
United $202 - $1,361 83%
Cigna $212 - $1,095 87%
Aetna $218 - $4,733 89%
Molina $222 - $226 91%
Parkland Community Health Plan $222 91%
Humana $253 - $631 104%
Blue Cross Blue Shield $294 - $3,473 121%
Imaging Providers Of Texas $450 185%
Superior Health Plan $548 225%
Lifecare Hospitals $2,347 963%
Healthcare Highways $2,644 1085%
Prominence Health Plan $3,129 1284%
City Of Mckinney $3,520 1444%
Fidelis Securecare $3,520 1444%
National Choicecare $3,911 1604%
Pc Texas Partners $4,302 1765%
Physicians Coop Of Tx $4,302 1765%
Rockport Health Group $4,302 1765%
Averde Health, Inc $4,537 1861%
Texas Healthcare Foundation Wc $5,085 2086%
Coastal Comp Health Networks $5,476 2246%
Mega Life $5,476 2246%
Healthsmart Preferred Care $5,867 2407%
Lewisville Isd/Dls Consulting $5,867 2407%
Usa Managed Care $6,258 2567%
Usc Health Services $6,258 2567%
Galaxy Health Network $6,649 2728%
Independent Medical Systems $7,822 3209%
National Healthcare Solutions $7,822 3209%
Unicare $7,822 3209%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals