CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Medical City Lewisville

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $466
  • Cash Discount Price: $6,387
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Medical City Lewisville is $466. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,387. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.31x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$6,387

Average discount available for prompt cash payment at this facility.

Insurance Median
$466

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: $6,387 (1792%)
Insurance Median: $466 (131%)
Cash: $6,387 (1792% of Medicare)
Ins. Median: $466 (131% 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.

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 - $2,541 92%
Cigna $345 - $1,788 97%
Aetna $354 - $9,283 99%
Molina $361 - $367 101%
Humana $410 - $1,062 115%
Imaging Providers Of Texas $450 126%
Blue Cross Blue Shield $481 - $5,669 135%
Superior Health Plan $894 251%
Unicare $3,064 - $12,768 860%
Healthcare Highways $4,316 1211%
City Of Mckinney $5,746 1612%
Fidelis Securecare $5,746 1612%
National Choicecare $6,384 1791%
Pc Texas Partners $7,023 1970%
Physicians Coop Of Tx $7,023 1970%
Rockport Health Group $7,023 1970%
Averde Health, Inc $7,406 2078%
Usc Health Services $7,661 2149%
Coastal Comp Health Networks $8,938 2508%
Jostens $8,938 2508%
Mega Life $8,938 2508%
Healthsmart Preferred Care $9,576 2687%
Lewisville Isd/Dls Consulting $9,576 2687%
Usa Managed Care $10,215 2866%
Galaxy Health Network $10,853 3045%
Independent Medical Systems $12,768 3582%
National Healthcare Solutions $12,768 3582%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals