CMS Price Transparency Data

MRI, brain (no contrast)

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,603
Cash Discount Price: $1,336
vs. Medicare Baseline: 6.58x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at CHI St Lukes Health Memorial San Augustine is $1,603. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,336. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.58x the Medicare baseline. Located in 511 Hospital St, San Augustine, TX.

Cash / Self-Pay

$1,336

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,603

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: $1,336 (548%)

Insurance Median: $1,603 (658%)

Cash: $1,336 (548% of Medicare)

Ins. Median: $1,603 (658% 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 658% of the Medicare baseline (a markup of 558%). 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
Aetna	$216 - $2,226	89%
Humana	$216 - $6,234	89%
Wellpoint	$223 - $462	91%
Cigna	$227 - $1,654	93%
Blue Cross Blue Shield	$240 - $930	98%
United	$240 - $8,905	98%
Scanhealth	$244	100%
Md Save	$270	111%
Superior	$294 - $462	121%
Tchp	$294	121%
Angelina County	$590	242%
Brookshire Brothers	$648	266%
PHCS	$6,055 - $7,124	2484%
Multiplan	$6,233 - $6,234	2557%
Galaxy	$8,014	3288%
Entrust	$9,261	3799%

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 $1,336.
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 CHI St Lukes Health Memorial San Augustine 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.