CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Memorial Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $775
  • Cash Discount Price: $1,070
  • vs. Medicare Baseline: 3.18x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Memorial Medical Center is $775. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,070. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.18x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$1,070

Average discount available for prompt cash payment at this facility.

Insurance Median
$775

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: $1,070 (439%)
Insurance Median: $775 (318%)
Cash: $1,070 (439% of Medicare)
Ins. Median: $775 (318% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 318% of the Medicare baseline (a markup of 218%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Triwest Va Pccc-All Plans $65 - $775 27%
Amerigroup Mcr Adv-All Other Plans $67 - $791 27%
Care Improvement Plus - All Other Plans $67 - $791 27%
Care Improvement Plus Mcr $67 - $799 27%
Superior Allwell Mcr Adv-All Other Plans $67 - $791 27%
UnitedHealthcare $67 - $2,261 27%
Universal American Mcr-All Other Plans $67 - $791 27%
Universal American Snp $70 - $831 29%
Ambetter / Centene $74 - $950 30%
Coventry First Hlth Hmo Ppo-All Other Plans $83 - $2,261 34%
Coventry First Hlth Mcr Adv $83 - $791 34%
Galaxy Health Network-All Plans $97 - $2,402 40%
Capstar Health Network-All Plans $105 - $2,261 43%
Cigna $105 - $2,120 43%
Healthcare Highways-All Plans $150 - $2,261 62%
Prime Healthcare Services-All Plans $162 - $1,978 66%
Blue Cross Blue Shield $173 - $917 71%
Humana $185 - $2,261 76%
Corvel Work Comp-All Plans $196 - $2,402 80%
Independent Med Sys Ppo-All Plans $196 - $2,402 80%
Multiplan Mcr Adv $196 - $791 80%
Multiplan Phcs Ppo-All Other Plans $196 - $2,402 80%
Provider Select Ppo-All Plans $196 - $2,402 80%
Three Rivers Ppo-All Plans $196 - $2,402 80%
Usa Mso - All Plans $196 - $2,402 80%
Amerigroup Chip $231 - $1,356 95%
Amerigroup Star $231 - $1,356 95%
Amerigroup Star Kids $231 - $1,356 95%
Amerigroup Star Plus $231 - $1,356 95%
Comm Health Chip $231 - $1,356 95%
Comm Health Perinatal-All Other Plans $231 - $1,356 95%
Molina Chip/Star-All Plans $231 - $1,356 95%
Scott & White Chip/Star-All Plans $231 - $1,356 95%
Superior Chip/Star $231 - $1,356 95%
Texas Childrens Hp - All Plans $231 - $1,356 95%
Comm Health Mcaid Hmo $242 - $1,424 99%
Comm Health Star $242 - $1,424 99%
Aetna $2,261 928%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals