CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Texas Health Hospital Frisco

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,626
Cash Discount Price: $2,504
vs. Medicare Baseline: 6.67x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Texas Health Hospital Frisco is $1,626. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,504. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.67x the Medicare baseline. Located in 12400 N Dallas Parkway, Frisco, TX.

Cash / Self-Pay

$2,504

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,626

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: $2,504 (1027%)

Insurance Median: $1,626 (667%)

Cash: $2,504 (1027% of Medicare)

Ins. Median: $1,626 (667% 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 667% of the Medicare baseline (a markup of 567%). 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
Amerigroup	$202 - $252	83%
Blue Cross Blue Shield	$202 - $1,652	83%
Parkland	$202	83%
UnitedHealthcare	$202 - $1,933	83%
Superior Wellcare	$212 - $264	87%
Molina	$218 - $252	89%
American Health	$240	98%
Healthspring	$244	100%
Humana	$249	102%
Fort Worth Firefighters	$1,105 - $2,548	453%
Aetna	$1,200 - $2,926	492%
City Of Fort Worth	$1,962	805%
Cigna	$1,973 - $3,928	809%
Quick Trip	$2,504 - $2,629	1027%
Phcs	$2,901 - $3,109	1190%
Healthsmart	$3,130 - $3,506	1284%
Multiplan	$3,631	1490%
Galaxy	$3,673	1507%
Usa	$3,673	1507%

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 $2,504.
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 Texas Health Hospital Frisco 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.