CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Baylor Scott & White Medical Center Pflugerville

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,711
Cash Discount Price: $2,367
vs. Medicare Baseline: 7.02x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Baylor Scott & White Medical Center Pflugerville is $1,711. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,367. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.02x the Medicare baseline. Located in 2600 East Pflugerville Parkway, Pflugerville, TX.

Cash / Self-Pay

$2,367

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,711

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $2,367 (971%)

Insurance Median: $1,711 (702%)

Cash: $2,367 (971% of Medicare)

Ins. Median: $1,711 (702% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 702% of the Medicare baseline (a markup of 602%). 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
Superior Health Plan	$204 - $219	84%
Baylor Scott & White Health Plan	$208 - $1,855	85%
Humana	$219 - $2,762	90%
Triwest	$219	90%
American Health Plan	$230	94%
Corvel	$230	94%
Healthspring	$230	94%
Prime Health Services	$230	94%
Procare Advantage	$230	94%
UnitedHealthcare	$252 - $2,400	103%
Sedgwick	$328	135%
Blue Cross Blue Shield	$914 - $1,114	375%
Cigna	$1,711 - $2,013	702%
University Of Mary Hardin-Baylor	$2,014	826%
Aetna	$2,170	890%
Midcoast	$2,170	890%
Quiktrip	$2,170	890%
Independent Medical System	$2,367	971%
Curative	$2,565	1052%
First Health	$2,762	1133%
Healthsmart	$2,762 - $2,959	1133%
Private Health Care System	$2,959	1214%
Three Rivers	$3,551	1457%

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 $2,367.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center Pflugerville is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
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.