CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Medical City Fort Worth

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$394

about 1.1× the $356 Medicare rate · typically $354–$709

modeled estimate · not a bill or quote

What this hospital charges insurers

$367

About the fair price

about $27 under the fair price · 1.0× Medicare

Medicare pays $356 Fair price $394 This hospital $367 Cash price $9,521 Hospital's list price $9,521

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $107 Priciest $367

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (with and without contrast) is about $394 (about 1.1× the $356 Medicare rate). Medical City Fort Worth charges insurers about $367, or about $9,521 in cash — about the fair price. Located in Fort Worth, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$328 - $8,188	92%
Blue Cross Blue Shieldmajor	$454 - $4,228	127%
Aetnamajor	$354 - $5,608	99%
Cignamajor	$345 - $5,046	97%
Humanamajor	$410 - $1,062	115%
Amerigroup	$328	92%
Cigna HealthSpring	$345	97%
Fidelis Care	$4,285	1202%
Health Net	$6,665	1870%
Healthcare Highways	$3,218	903%
Molina	$361 - $367	101%
UniCare	$2,095 - $9,521	588%
+ 14 smaller / regional plans	$328 - $9,521

Government programs also on file: Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 9,521), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70553.

Insurance Before you use insurance

Call your insurance company to confirm Medical City Fort Worth is in-network.
Ask your insurer whether prior approval is required for CPT code 70553.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Medical City Fort Worth

Compare: MRI, brain (with and without contrast) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.