CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Methodist Mansfield Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $376
  • Cash Discount Price: $3,021
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Methodist Mansfield Medical Center is $376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,021. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.05x the Medicare baseline. Located in 2700 E Broad Street, Mansfield, TX.
Cash / Self-Pay
$3,021

Average discount available for prompt cash payment at this facility.

Insurance Median
$376

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: $3,021 (848%)
Insurance Median: $376 (105%)
Cash: $3,021 (848% of Medicare)
Ins. Median: $376 (105% 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
UnitedHealthcare $312 - $376 88%
Aetna $351 - $569 98%
Blue Cross Blue Shield $351 - $2,612 98%
Community Hospice Of Texas [2005] $351 98%
Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] $351 98%
Faith Hospice [2008] $351 98%
Generic Hospice [2011] $351 98%
Heart To Heart Hospice [2012] $351 98%
Homebound Cardinal Hospice [4019] $351 98%
Hospice Plus [2013] $351 98%
Kindful Health Hospice [4016] $351 98%
Lions Hospice [2015] $351 98%
Medicare (plans) $351 - $376 98%
New Century Hospice [2003] $351 98%
Odyssey Hospice [2018] $351 98%
Silverado Hospice [4017] $351 98%
Ust Health Proof [1005] $351 98%
Vista Care Hospice [2023] $351 98%
Vitas Hospice [2024] $351 98%
Vna Hospice [2025] $351 98%
Wellcare [7016] $351 98%
American Health Advantage Of Texas [7099] $369 104%
Cigna $369 - $649 104%
Globalhealth [1003] $369 104%
Procare Advantage [7018] $369 104%
Humana $372 104%
Southwestern Health Resources Swhr [7015] $372 104%
Provider Partners Health Plan [7025] $379 106%
Alternative Service Concepts [8005] $439 123%
Oscar Insurance Company [2057] $456 128%
Bright Healthcare [2222] $491 138%
Molina [3017] $509 143%
Wellpoint Marketplace Exchange [3071] $544 153%
Kempton Group Administrators, Tower Extrusions [3061] $562 158%
90 Degree Benefit [3057] $579 162%
Allied National [2031] $579 162%
Entrust/90 Degree [2058] $579 162%
Ambetter / Centene $600 168%
Imperial Insurance Companies [3073] $632 177%
Web Tpa [3049] $649 182%
Department Of Labor [8004] $702 197%
Evry Health [1013] $702 197%
Generic Workers Comp Tx Non Par [9010] $702 197%
Generic Workers Comp Tx Par [8002] $702 197%
Generic Workers Comp Tx Par [9011] $702 197%
Sana Benefits [3069] $702 197%
Tristar Risk Management [8006] $702 197%
Velocity [3070] $702 197%
Friday Health Plan [2061] $850 238%
Health Plans Inc [5017] $878 246%
Medical Cost Containment Professionals [3059] $878 246%
Dart Member Care [3039] $948 266%
Healthscope Benefits [2052] $948 266%
Healthscope Benefits [3063] $948 266%
Medicaid / KanCare $1,155 - $1,402 324%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2700 E Broad Street, Mansfield, TX 76063
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals