CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Baylor Scott & White Medical Center - Centennial

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,852
Cash Discount Price: $2,916
vs. Medicare Baseline: 5.20x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Baylor Scott & White Medical Center - Centennial is $1,852. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,916. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.20x the Medicare baseline. Located in 12505 Lebanon Road, Frisco, TX.

Cash / Self-Pay

$2,916

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,852

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: $2,916 (818%)

Insurance Median: $1,852 (520%)

Cash: $2,916 (818% of Medicare)

Ins. Median: $1,852 (520% 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 520% of the Medicare baseline (a markup of 420%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Superior Health Plan	$333 - $369	93%
Wellpoint (Fka Amerigroup)	$333 - $362	93%
Baylor Scott & White Health Plan	$334 - $2,057	94%
Humana	$352 - $3,402	99%
Triwest	$352	99%
Corvel	$368	103%
Prime Health Services	$368	103%
American Health Plan	$369	104%
Blue Cross Blue Shield	$369 - $2,742	104%
Healthspring	$369	104%
Molina	$369	104%
Procare Advantage	$369	104%
UnitedHealthcare	$404 - $2,519	113%
Ambetter / Centene	$728	204%
Imagine Health	$1,622	455%
Cigna	$1,868 - $2,198	524%
University Of Mary Hardin-Baylor	$2,014	565%
Aetna	$2,673	750%
Employers Health Network	$2,673	750%
Quiktrip	$2,673	750%
Curative	$3,159	886%
First Health	$3,402	954%
Healthsmart	$3,402 - $3,645	954%
Private Health Care System	$3,645	1023%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,916.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center - Centennial is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.