CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Medical City Fort Worth

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $1,090
  • Cash Discount Price: $9,521
  • vs. Medicare Baseline: 3.06x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Medical City Fort Worth is $1,090. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,521. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.06x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.
Cash / Self-Pay
$9,521

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,090

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: $9,521 (2671%)
Insurance Median: $1,090 (306%)
Cash: $9,521 (2671% of Medicare)
Ins. Median: $1,090 (306% 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 306% of the Medicare baseline (a markup of 206%). 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 $328 92%
Cook Childrens Health Plan $328 92%
Parkland Community Health Plan $328 92%
United $328 - $1,790 92%
Cigna $345 - $5,046 97%
Healthspring Life $345 97%
Aetna $354 - $5,608 99%
Molina $361 - $367 101%
Humana $410 - $1,062 115%
Imaging Providers Of Texas $450 126%
Blue Cross Blue Shield $454 - $4,228 127%
Superior Health Plan $666 187%
Unicare $2,095 - $9,521 588%
Healthcare Highways $3,218 903%
City Of Mckinney $4,285 1202%
Fidelis Securecare $4,285 1202%
Emerging Therapy Solutions $4,761 - $6,855 1336%
National Choicecare $4,761 1336%
Pc Texas Partners $5,237 1469%
Physicians Coop Of Tx $5,237 1469%
Rockport Health Group $5,237 1469%
Averde Health, Inc $5,522 1549%
Coastal Comp Health Networks $6,665 1870%
Mega Life $6,665 1870%
Healthsmart Preferred Care $6,760 1897%
Lewisville Isd/Dls Consulting $7,141 2003%
Usa Managed Care $7,617 2137%
Usc Health Services $7,617 2137%
Galaxy Health Network $8,093 2271%
UnitedHealthcare $8,188 2297%
Independent Medical Systems $9,521 2671%
National Healthcare Solutions $9,521 2671%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Eighth Avenue, Fort Worth, TX 76104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals