CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Carrollton Regional Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $240
  • Cash Discount Price: $1,739
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Carrollton Regional Medical Center is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,739. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.98x the Medicare baseline. Located in 4343 North Josey Lane, Carrollton, TX.
Cash / Self-Pay
$1,739

Average discount available for prompt cash payment at this facility.

Insurance Median
$240

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: $1,739 (713%)
Insurance Median: $240 (98%)
Cash: $1,739 (713% of Medicare)
Ins. Median: $240 (98% 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.

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 $204 - $240 84%
Blue Cross Blue Shield $204 - $839 84%
Cigna $204 84%
Medicaid / KanCare $204 - $210 84%
Molina $204 - $247 84%
Superior $204 - $360 84%
Superior_Chip $204 84%
Uhc_Chip $204 84%
Uhc_Star $204 84%
Uhc_Star_Plus $204 84%
UnitedHealthcare $204 - $2,245 84%
Humana $216 - $240 89%
Aetna $240 - $2,790 98%
Medicare (plans) $240 98%
Scott_And_White $240 98%
Molina_Star_Plus $247 101%
Molina_Health_Insurance_Marketplace $312 128%
Scott_And_White_Epo $1,557 639%
Scott_And_White_Hmo $1,557 639%
Scott_And_White_Ppo $1,557 639%
Scott_And_White_Swhp $1,557 639%
Phcs $2,174 892%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4343 North Josey Lane, Carrollton, TX 75010
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals