CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Comanche County Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $479
  • Cash Discount Price: $698
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Comanche County Medical Center is $479. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $698. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.34x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.
Cash / Self-Pay
$698

Average discount available for prompt cash payment at this facility.

Insurance Median
$479

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: $698 (196%)
Insurance Median: $479 (134%)
Cash: $698 (196% of Medicare)
Ins. Median: $479 (134% 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
Swhp Comm - All Other Plans $93 - $700 26%
Blue Cross Blue Shield $97 - $907 27%
Choicecare Comm - All Other Plans $103 - $662 29%
Choicecare Mcr Adv $103 - $662 29%
Humana $103 - $1,253 29%
Molina Mcr Adv - All Other Plans $103 - $662 29%
Pphp Mcr Adv - All Plans $103 - $662 29%
Superior Epo/Hmo - All Plans $103 - $662 29%
Swhp Mcr Adv $103 - $662 29%
Wellmed Mcr Adv - All Plans $103 - $662 29%
Aetna $109 - $1,128 31%
First Care Hmo - All Other Plans $109 - $600 31%
First Care Hmo Self Funded $109 - $600 31%
Occunet - All Plans $134 - $1,342 38%
Alliance Wc - All Plans $155 - $993 43%
Cigna $232 - $1,164 65%
Molina Mcaid $357 - $1,128 100%
Swhp Mcaid $357 - $1,128 100%
Mpi - All Plans $1,611 452%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10201 Hwy 16, Comanche, TX 76442
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals