CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: The Hospital at Westlake Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $344
  • Cash Discount Price: $759
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at The Hospital at Westlake Medical Center is $344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $759. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.97x the Medicare baseline. Located in 5656 Bee Caves Road, Suite M-302, Austin, TX.
Cash / Self-Pay
$759

Average discount available for prompt cash payment at this facility.

Insurance Median
$344

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: $759 (213%)
Insurance Median: $344 (97%)
Cash: $759 (213% of Medicare)
Ins. Median: $344 (97% 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
Blue Cross Blue Shield $333 - $791 93%
Medicaid / KanCare $333 93%
Superior_Mcd $333 93%
Aetna $344 - $1,116 97%
Ambetter / Centene $344 97%
Edhp $344 97%
Humana $344 - $2,138 97%
Mcr_United $344 97%
Medicare (plans) $344 97%
Sendero $344 97%
Tricare $344 97%
Triwest $344 97%
Wellcare $344 97%
90_Degree_Benefits $516 145%
Cigna $670 188%
United_Healthcare $875 245%
Multiplan $2,138 600%
Beech_Street $2,303 646%
Scott_And_White $2,440 685%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5656 Bee Caves Road, Suite M-302, Austin, TX 78746
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals