CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Ascension Seton Highland Lakes

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $292
  • Cash Discount Price: $944
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Ascension Seton Highland Lakes is $292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $944. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.20x the Medicare baseline. Located in Highway 281 South, Burnet, TX.
Cash / Self-Pay
$944

Average discount available for prompt cash payment at this facility.

Insurance Median
$292

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: $944 (387%)
Insurance Median: $292 (120%)
Cash: $944 (387% of Medicare)
Ins. Median: $292 (120% 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
Champva $163 - $224 67%
Blue Cross Blue Shield $176 - $1,042 72%
Dell Star $176 - $290 72%
UnitedHealthcare $176 - $290 72%
Wellpoint Star $176 - $290 72%
Wellpoint Star Plus $176 - $294 72%
Ambetter / Centene $204 - $218 84%
Superior Star $204 - $1,470 84%
Superior Star Plus $204 - $1,470 84%
Wellpoint Chip/Chip Perinate $204 - $294 84%
Wellpoint Star Kids $204 - $294 84%
Dell Chip/Chip Perinate $218 - $294 89%
Humana $259 106%
Tricare $264 108%
Superior Star Foster $629 - $1,470 258%
Superior Star Kids $629 - $1,470 258%
Superior Chip/Chip Perinate $707 - $1,654 290%
Seton Performance Plus $755 310%
Aetna $1,128 - $1,969 463%
Covenant Health $1,410 578%
Cigna $1,750 718%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Highway 281 South, Burnet, TX 78611
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals