CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Graham Regional Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,350
Cash Discount Price: $2,142
vs. Medicare Baseline: 3.79x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Graham Regional Medical Center is $1,350. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,142. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.79x the Medicare baseline. Located in 1301 Montgomery Road, Graham, TX.

Cash / Self-Pay

$2,142

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,350

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: $2,142 (601%)

Insurance Median: $1,350 (379%)

Cash: $2,142 (601% of Medicare)

Ins. Median: $1,350 (379% 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 379% of the Medicare baseline (a markup of 279%). 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	$450 - $744	126%
Choicecare Network	$450 - $744	126%
Superior Healthplan	$450 - $744	126%
Wellpoint	$608 - $1,004	171%
Aetna	$975 - $1,612	274%
Cigna	$975 - $1,612	274%
Blue Cross Blue Shield	$1,020 - $1,860	286%
Three Rivers Provider Network	$1,275 - $2,108	358%
Health Advantage Network	$1,350 - $2,232	379%
Healthsmart Preferred Care	$1,350 - $2,232	379%
UnitedHealthcare	$1,519	426%
Curative	$3,750 - $6,200	1052%

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 $2,142.
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 Graham Regional Medical Center 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.