CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Ad Hospital East, LLC

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$524

about 1.5× the $356 Medicare rate · typically $367–$767

modeled estimate · not a bill or quote

What this hospital charges insurers

$403

Below the fair price — a good deal

about $121 under the fair price · 1.1× Medicare

Medicare pays $356 Fair price $524 This hospital $403 Cash price $5,249 Hospital's list price $5,249

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $107 Priciest $403

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (with and without contrast) is about $524 (about 1.5× the $356 Medicare rate). Ad Hospital East, LLC charges insurers about $403, or about $5,249 in cash — below the fair price — a good deal. Located in Houston, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$322 - $589	90%
Aetnamajor	$353 - $450	99%
Ambetter (Centene)	$355 - $806	100%

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 5,249), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70553.

Insurance Before you use insurance

Call your insurance company to confirm Ad Hospital East, LLC is in-network.
Ask your insurer whether prior approval is required for CPT code 70553.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ad Hospital East, LLC

Compare: MRI, brain (with and without contrast) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.