CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Cornerstone Regional Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $368
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Cornerstone Regional Hospital is $368. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.03x the Medicare baseline. Located in 2302 Cornerstone Boulevard, Edinburg, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$368

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%)
Insurance Median: $368 (103%)
Ins. Median: $368 (103% 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
Aetna $368 - $2,608 103%
Allwell $368 103%
Ambetter / Centene $368 103%
Blue Cross Blue Shield $368 - $603 103%
Humana $368 - $1,823 103%
Molina $368 - $652 103%
Prominence $368 103%
Superior $368 - $652 103%
Texas_Health_Spring $368 - $652 103%
United_Healthcare $368 - $3,065 103%
Wellmed $368 103%
Discroll $652 183%
Cigna $4,340 1218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2302 Cornerstone Boulevard, Edinburg, TX 78539
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals