CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: HCA Houston Healthcare Pearland

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,370
Cash Discount Price: $18,153
vs. Medicare Baseline: 3.84x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at HCA Houston Healthcare Pearland is $1,370. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,153. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.84x the Medicare baseline. Located in 11100 Shadow Creek Parkway, Pearland, TX.

Cash / Self-Pay

$18,153

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,370

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: $18,153 (5093%)

Insurance Median: $1,370 (384%)

Cash: $18,153 (5093% of Medicare)

Ins. Median: $1,370 (384% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 384% of the Medicare baseline (a markup of 284%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Texas Childrens Health Plans	$328 - $3,013	92%
Community Health Choice Mcd	$333	93%
United	$339 - $8,169	95%
Aetna	$359 - $2,168	101%
Molina Healthcare	$361	101%
Humana	$410 - $4,633	115%
Blue Cross Blue Shield	$821 - $6,354	230%
Superior Health Plan	$1,089	306%
Cigna	$2,127 - $2,739	597%
Christus (Usfhp)	$7,261	2037%
Coventry National First Health	$9,676	2715%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $18,153.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Houston Healthcare Pearland is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.