6 hospitals in Austin list a self-pay price of $1,876 for a breast MRI (both breasts) with and without contrast (CPT 77049). The typical commercial rate in the same files is $1,750.
BCBS BAV EXCHANGE (4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101), Ascension Seton Cedar Park
Breast MRI prices by hospital in Austin
Published cash priceTypical insured rate
Sorted by published cash price. “Typical insured rate” is the median of all commercial plan rates each hospital lists for CPT 77049; Medicaid and Medicare Advantage are shown separately below.
Breast MRI (both breasts) with and without contrast (CPT 77049) — Austin
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
Negotiated rates by insurer
Hospital
Blue Cross Blue Shield
Aetna
Cigna
UnitedHealthcare
Humana
Medicaid / CHIP
Medicare Advantage
Baylor Scott & White Medical Center – Lakeway
Blue Cross Blue Shield$1,225–$1,494
Aetna$1,720
Cigna$1,711–$2,013
UnitedHealthcare$2,472
Humana$2,032–$2,189
Medicaid / CHIP$625–$669
Medicare Advantage$1,876
Baylor Scott & White Medical Center – Round Rock
Blue Cross Blue Shield$1,225–$1,494
Aetna$1,720
Cigna$1,711–$2,013
UnitedHealthcare$2,472
Humana$2,032–$2,189
Medicaid / CHIP$625–$669
Medicare Advantage—
Baylor Scott & White Medical Center – Taylor
Blue Cross Blue Shield$1,225–$1,494
Aetna$1,720
Cigna$1,711–$2,013
UnitedHealthcare$2,472
Humana$2,032–$2,189
Medicaid / CHIP$756
Medicare Advantage$594–$689
Baylor Scott & White Medical Center – Austin
Blue Cross Blue Shield$1,225–$1,494
Aetna$1,720
Cigna$1,711–$2,013
UnitedHealthcare$2,472
Humana$2,032–$2,189
Medicaid / CHIP$594–$636
Medicare Advantage—
Baylor Scott & White Medical Center – Buda
Blue Cross Blue Shield$1,225–$1,494
Aetna$1,720
Cigna$1,711–$2,013
UnitedHealthcare$2,472
Humana$2,032–$2,189
Medicaid / CHIP$375–$401
Medicare Advantage—
Baylor Scott & White Medical Center – Pflugerville
Blue Cross Blue Shield$1,225–$1,494
Aetna$1,720
Cigna$1,711–$2,013
UnitedHealthcare$2,472
Humana$2,032–$2,189
Medicaid / CHIP$344–$368
Medicare Advantage—
Ascension Seton Cedar Park
Blue Cross Blue Shield$311–$1,310
Aetna$2,152–$2,691
Cigna$1,750
UnitedHealthcare—
Humana—
Medicaid / CHIP—
Medicare Advantage—
Dell Seton Medical Center at The University of Texas
Blue Cross Blue Shield$311–$1,310
Aetna$2,152–$2,691
Cigna$1,750
UnitedHealthcare—
Humana—
Medicaid / CHIP—
Medicare Advantage—
Ascension Seton Northwest
Blue Cross Blue Shield$311–$1,310
Aetna$2,152–$2,691
Cigna$1,750
UnitedHealthcare—
Humana—
Medicaid / CHIP—
Medicare Advantage—
Ascension Seton Smithville
Blue Cross Blue Shield$311–$1,310
Aetna$2,152–$2,691
Cigna$1,750
UnitedHealthcare—
Humana—
Medicaid / CHIP—
Medicare Advantage—
Ascension Seton Medical Center Austin
Blue Cross Blue Shield$311–$1,310
Aetna$2,152–$2,691
Cigna$1,750
UnitedHealthcare—
Humana—
Medicaid / CHIP—
Medicare Advantage—
Ascension Seton Edgar B. Davis
Blue Cross Blue Shield$311–$1,310
Aetna$2,152–$2,691
Cigna$1,750
UnitedHealthcare—
Humana—
Medicaid / CHIP—
Medicare Advantage—
Ascension Seton Hays
Blue Cross Blue Shield$311–$1,310
Aetna$2,152–$2,691
Cigna$1,750
UnitedHealthcare—
Humana—
Medicaid / CHIP—
Medicare Advantage—
Ascension Seton Southwest
Blue Cross Blue Shield$311–$1,310
Aetna$2,152–$2,691
Cigna$1,750
UnitedHealthcare—
Humana—
Medicaid / CHIP—
Medicare Advantage—
CHRISTUS Santa Rosa Hospital – San Marcos
Blue Cross Blue Shield$1,125–$1,670
Aetna—
Cigna$1,764–$2,240
UnitedHealthcare$1,587
Humana$713
Medicaid / CHIP—
Medicare Advantage—
Dell Children's Medical Center
Blue Cross Blue Shield$311–$1,310
Aetna$2,152–$2,691
Cigna$1,750
UnitedHealthcare—
Humana—
Medicaid / CHIP—
Medicare Advantage—
Baylor Scott & White Medical Center – Lakeway: all 27 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Superior Health Plan
Medicaid
Medicaid / CHIP
$625
percent of total billed charges
United Healthcare
Medicaid/CHIP
Medicaid / CHIP
$669
percent of total billed charges
Blue Cross Blue Shield
Blue Premier/High Performance Network/My BlueHealth
Commercial
$1,225
fee schedule
Blue Cross Blue Shield
Blue Advantage
Commercial
$1,239
fee schedule
Blue Cross Blue Shield
Blue Essentials (HMO)
Commercial
$1,418
fee schedule
Blue Cross Blue Shield
BlueChoice (PPO)
Commercial
$1,494
fee schedule
Cigna
Local Plus
Commercial
$1,711
fee schedule
Aetna
Commercial
Commercial
$1,720
percent of total billed charges
QuikTrip
Employee Benefit Plan
Commercial
$1,720
percent of total billed charges
MidCoast
Commercial
Commercial
$1,720
percent of total billed charges
Baylor Scott & White Health Plan
BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee
Commercial
$1,731
fee schedule
Aetna
Medicare Advantage
Medicare Advantage
$1,876
percent of total billed charges
Independent Medical System
Commercial PPO
Commercial
$1,876
percent of total billed charges
Cigna
HMO/PPO
Commercial
$2,013
fee schedule
Curative
Commercial
Commercial
$2,032
percent of total billed charges
Humana
Commercial HMO
Commercial
$2,032
percent of total billed charges
Baylor Scott & White Health Plan
BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)
Commercial
$2,037
fee schedule
University of Mary Hardin-Baylor
Commercial
Commercial
$2,149
fee schedule
First Health
PPO
Commercial
$2,189
percent of total billed charges
HealthSmart
Accel Network
Commercial
$2,189
percent of total billed charges
Humana
Commercial PPO
Commercial
$2,189
percent of total billed charges
HealthSmart
Preferred Network
Commercial
$2,345
percent of total billed charges
Private Health Care System
PHCS Network
Commercial
$2,345
percent of total billed charges
TriWest
Community Care Network
Military / VA
$2,345
percent of total billed charges
United Healthcare
Commercial
Commercial
$2,472
fee schedule
CORVEL
Worker's Compensation
Workers' comp
$2,658
percent of total billed charges
Three Rivers
Three Rivers Provider Network
Commercial
$2,814
percent of total billed charges
Baylor Scott & White Medical Center – Round Rock: all 27 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Superior Health Plan
Medicaid
Medicaid / CHIP
$625
percent of total billed charges
United Healthcare
Medicaid/CHIP
Medicaid / CHIP
$669
percent of total billed charges
Blue Cross Blue Shield
Blue Premier/High Performance Network/My BlueHealth
Commercial
$1,225
fee schedule
Blue Cross Blue Shield
Blue Advantage
Commercial
$1,239
fee schedule
Blue Cross Blue Shield
Blue Essentials (HMO)
Commercial
$1,418
fee schedule
Blue Cross Blue Shield
BlueChoice (PPO)
Commercial
$1,494
fee schedule
Cigna
Local Plus
Commercial
$1,711
fee schedule
Aetna
Commercial
Commercial
$1,720
percent of total billed charges
QuikTrip
Employee Benefit Plan
Commercial
$1,720
percent of total billed charges
MidCoast
Commercial
Commercial
$1,720
percent of total billed charges
Baylor Scott & White Health Plan
BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee
Commercial
$1,731
fee schedule
Independent Medical System
Commercial PPO
Commercial
$1,876
percent of total billed charges
Cigna
HMO/PPO
Commercial
$2,013
fee schedule
Curative
Commercial
Commercial
$2,032
percent of total billed charges
Humana
Commercial HMO
Commercial
$2,032
percent of total billed charges
Baylor Scott & White Health Plan
BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)
Commercial
$2,037
fee schedule
University of Mary Hardin-Baylor
Commercial
Commercial
$2,149
fee schedule
First Health
PPO
Commercial
$2,189
percent of total billed charges
HealthSmart
Accel Network
Commercial
$2,189
percent of total billed charges
Humana
Commercial PPO
Commercial
$2,189
percent of total billed charges
BlueBell Creameries
Self Insured
Commercial
$2,345
percent of total billed charges
HealthSmart
Preferred Network
Commercial
$2,345
percent of total billed charges
Private Health Care System
PHCS Network
Commercial
$2,345
percent of total billed charges
TriWest
Community Care Network
Military / VA
$2,345
percent of total billed charges
United Healthcare
Commercial
Commercial
$2,472
fee schedule
CORVEL
Worker's Compensation
Workers' comp
$2,658
percent of total billed charges
Three Rivers
Three Rivers Provider Network
Commercial
$2,814
percent of total billed charges
Baylor Scott & White Medical Center – Taylor: all 39 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Baylor Scott & White Health Plan
Medicare Advantage
Medicare Advantage
$594
percent of total billed charges
American Health Plan
Medicare Advantage
Medicare Advantage
$625
percent of total billed charges
TriWest
Community Care Network
Military / VA
$625
percent of total billed charges
CORVEL
Worker's Compensation
Workers' comp
$655
percent of total billed charges
Prime Health Services
Worker's Compensation
Workers' comp
$655
percent of total billed charges
Blue Cross Blue Shield
Medicare Advantage
Medicare Advantage
$657
percent of total billed charges
HealthSpring
Medicare Advantage
Medicare Advantage
$657
percent of total billed charges
ProCare Advantage
Medicare Advantage
Medicare Advantage
$657
percent of total billed charges
Superior Health Plan
Medicare HMO/Medicare PPO
Medicare Advantage
$689
percent of total billed charges
Baylor Scott & White Health Plan
BSW Premier - Small Group
Commercial
$750
percent of total billed charges
United Healthcare
Medicaid/CHIP
Medicaid / CHIP
$756
percent of total billed charges
CareWorks fka Rockport
Worker's Compensation
Workers' comp
$777
percent of total billed charges
Injury Management Organization
Med Select Network
Workers' comp
$777
percent of total billed charges
Sedgwick
Preferred Network
Workers' comp
$777
percent of total billed charges
Baylor Scott & White Health Plan
BSW Premier - Individual
Commercial
$785
percent of total billed charges
Baylor Scott & White Health Plan
BSW Plus - Small Group
Commercial
$1,126
percent of total billed charges
Blue Cross Blue Shield
Blue Premier/High Performance Network/My BlueHealth
Commercial
$1,225
fee schedule
Blue Cross Blue Shield
Blue Advantage
Commercial
$1,239
fee schedule
Blue Cross Blue Shield
Blue Essentials (HMO)
Commercial
$1,418
fee schedule
Blue Cross Blue Shield
BlueChoice (PPO)
Commercial
$1,494
fee schedule
Cigna
Local Plus
Commercial
$1,711
fee schedule
Aetna
Commercial
Commercial
$1,720
percent of total billed charges
QuikTrip
Employee Benefit Plan
Commercial
$1,720
percent of total billed charges
MidCoast
Commercial
Commercial
$1,720
percent of total billed charges
Baylor Scott & White Health Plan
BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee
Commercial
$1,731
fee schedule
Independent Medical System
Commercial PPO
Commercial
$1,876
percent of total billed charges
Cigna
HMO/PPO
Commercial
$2,013
fee schedule
Curative
Commercial
Commercial
$2,032
percent of total billed charges
Humana
Commercial HMO
Commercial
$2,032
percent of total billed charges
Baylor Scott & White Health Plan
BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)
Commercial
$2,037
fee schedule
University of Mary Hardin-Baylor
Commercial
Commercial
$2,149
fee schedule
First Health
PPO
Commercial
$2,189
percent of total billed charges
HealthSmart
Accel Network
Commercial
$2,189
percent of total billed charges
Humana
Commercial PPO
Commercial
$2,189
percent of total billed charges
HealthSmart
Preferred Network
Commercial
$2,345
percent of total billed charges
Private Health Care System
PHCS Network
Commercial
$2,345
percent of total billed charges
United Healthcare
Commercial
Commercial
$2,472
fee schedule
BlueBell Creameries
Self Insured
Commercial
$2,501
percent of total billed charges
Three Rivers
Three Rivers Provider Network
Commercial
$2,501
percent of total billed charges
Baylor Scott & White Medical Center – Austin: all 21 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Superior Health Plan
Medicaid
Medicaid / CHIP
$594
percent of total billed charges
United Healthcare
Medicaid/CHIP
Medicaid / CHIP
$636
percent of total billed charges
Blue Cross Blue Shield
Blue Premier/High Performance Network/My BlueHealth
Commercial
$1,225
fee schedule
Blue Cross Blue Shield
Blue Advantage
Commercial
$1,239
fee schedule
Blue Cross Blue Shield
Blue Essentials (HMO)
Commercial
$1,418
fee schedule
Blue Cross Blue Shield
BlueChoice (PPO)
Commercial
$1,494
fee schedule
Cigna
Local Plus
Commercial
$1,711
fee schedule
Aetna
Commercial
Commercial
$1,720
percent of total billed charges
QuikTrip
Employee Benefit Plan
Commercial
$1,720
percent of total billed charges
MidCoast
Commercial
Commercial
$1,720
percent of total billed charges
Baylor Scott & White Health Plan
BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee
Commercial
$1,731
fee schedule
Cigna
HMO/PPO
Commercial
$2,013
fee schedule
Curative
Commercial
Commercial
$2,032
percent of total billed charges
Humana
Commercial HMO
Commercial
$2,032
percent of total billed charges
Baylor Scott & White Health Plan
BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)
Commercial
$2,037
fee schedule
University of Mary Hardin-Baylor
Commercial
Commercial
$2,149
fee schedule
First Health
PPO
Commercial
$2,189
percent of total billed charges
Humana
Commercial PPO
Commercial
$2,189
percent of total billed charges
Private Health Care System
PHCS Network
Commercial
$2,345
percent of total billed charges
TriWest
Community Care Network
Military / VA
$2,345
percent of total billed charges
United Healthcare
Commercial
Commercial
$2,472
fee schedule
Baylor Scott & White Medical Center – Buda: all 21 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Superior Health Plan
Medicaid
Medicaid / CHIP
$375
percent of total billed charges
United Healthcare
Medicaid/CHIP
Medicaid / CHIP
$401
percent of total billed charges
Blue Cross Blue Shield
Blue Premier/High Performance Network/My BlueHealth
Commercial
$1,225
fee schedule
Blue Cross Blue Shield
Blue Advantage
Commercial
$1,239
fee schedule
Blue Cross Blue Shield
Blue Essentials (HMO)
Commercial
$1,418
fee schedule
Blue Cross Blue Shield
BlueChoice (PPO)
Commercial
$1,494
fee schedule
Cigna
Local Plus
Commercial
$1,711
fee schedule
Aetna
Commercial
Commercial
$1,720
percent of total billed charges
QuikTrip
Employee Benefit Plan
Commercial
$1,720
percent of total billed charges
MidCoast
Commercial
Commercial
$1,720
percent of total billed charges
Baylor Scott & White Health Plan
BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee
Commercial
$1,731
fee schedule
Cigna
HMO/PPO
Commercial
$2,013
fee schedule
Curative
Commercial
Commercial
$2,032
percent of total billed charges
Humana
Commercial HMO
Commercial
$2,032
percent of total billed charges
Baylor Scott & White Health Plan
BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)
Commercial
$2,037
fee schedule
University of Mary Hardin-Baylor
Commercial
Commercial
$2,149
fee schedule
First Health
PPO
Commercial
$2,189
percent of total billed charges
Humana
Commercial PPO
Commercial
$2,189
percent of total billed charges
Private Health Care System
PHCS Network
Commercial
$2,345
percent of total billed charges
TriWest
Community Care Network
Military / VA
$2,345
percent of total billed charges
United Healthcare
Commercial
Commercial
$2,472
fee schedule
Baylor Scott & White Medical Center – Pflugerville: all 26 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Superior Health Plan
Medicaid
Medicaid / CHIP
$344
percent of total billed charges
United Healthcare
Medicaid/CHIP
Medicaid / CHIP
$368
percent of total billed charges
Blue Cross Blue Shield
Blue Premier/High Performance Network/My BlueHealth
Commercial
$1,225
fee schedule
Blue Cross Blue Shield
Blue Advantage
Commercial
$1,239
fee schedule
Blue Cross Blue Shield
Blue Essentials (HMO)
Commercial
$1,418
fee schedule
Blue Cross Blue Shield
BlueChoice (PPO)
Commercial
$1,494
fee schedule
Cigna
Local Plus
Commercial
$1,711
fee schedule
Aetna
Commercial
Commercial
$1,720
percent of total billed charges
QuikTrip
Employee Benefit Plan
Commercial
$1,720
percent of total billed charges
MidCoast
Commercial
Commercial
$1,720
percent of total billed charges
Baylor Scott & White Health Plan
BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee
Commercial
$1,731
fee schedule
Independent Medical System
Commercial PPO
Commercial
$1,876
percent of total billed charges
Cigna
HMO/PPO
Commercial
$2,013
fee schedule
Curative
Commercial
Commercial
$2,032
percent of total billed charges
Humana
Commercial HMO
Commercial
$2,032
percent of total billed charges
Baylor Scott & White Health Plan
BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)
Commercial
$2,037
fee schedule
University of Mary Hardin-Baylor
Commercial
Commercial
$2,149
fee schedule
First Health
PPO
Commercial
$2,189
percent of total billed charges
HealthSmart
Accel Network
Commercial
$2,189
percent of total billed charges
Humana
Commercial PPO
Commercial
$2,189
percent of total billed charges
HealthSmart
Preferred Network
Commercial
$2,345
percent of total billed charges
Private Health Care System
PHCS Network
Commercial
$2,345
percent of total billed charges
TriWest
Community Care Network
Military / VA
$2,345
percent of total billed charges
United Healthcare
Commercial
Commercial
$2,472
fee schedule
CORVEL
Worker's Compensation
Workers' comp
$2,658
percent of total billed charges
Three Rivers
Three Rivers Provider Network
Commercial
$2,814
percent of total billed charges
Ascension Seton Cedar Park: all 14 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
CHAMPVA
1135_CHAMPVA REST_TX 20180301
Military / VA
$275
FEE SCHEDULE
BCBS BAV EXCHANGE
4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101
Commercial
$311
FEE SCHEDULE
HUMANA HMO
2668_HUMANA HMO 20230701
Commercial
$493
OTHER
BCBS HPN
4440_BLUE CROSS BLUE SHIELD HPN 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HPN
4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HMO ESSENTIALS
4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101
Commercial
$1,184
FEE SCHEDULE
BCBS PPO
4094_BLUE CROSS BLUE SHIELD PPO 20250101
Commercial
$1,310
FEE SCHEDULE
CIGNA HMO
4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701
Commercial
$1,750
FEE SCHEDULE
CIGNA HMO
4476_CIGNA HMO (WIL,DEL) 20250701
Commercial
$1,750
FEE SCHEDULE
AETNA SHA AISD
4335_AETNA SHA AISD 20250101
Commercial
$2,152
OTHER
AETNA ACO HMO
4489_AETNA ACO HMO 20250801
Commercial
$2,206
OTHER
AETNA MULTI-TIER WHOLE HEALTH SHA
4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801
Commercial
$2,421
OTHER
AETNA HMO
4486_AETNA HMO 20250801
Commercial
$2,691
OTHER
COVENANT HEALTH
4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801
Commercial
$2,691
OTHER
Dell Seton Medical Center at The University of Texas: all 14 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
CHAMPVA
1135_CHAMPVA REST_TX 20180301
Military / VA
$275
FEE SCHEDULE
BCBS BAV EXCHANGE
4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101
Commercial
$311
FEE SCHEDULE
HUMANA HMO
2668_HUMANA HMO 20230701
Commercial
$493
OTHER
BCBS HPN
4440_BLUE CROSS BLUE SHIELD HPN 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HPN
4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HMO ESSENTIALS
4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101
Commercial
$1,184
FEE SCHEDULE
BCBS PPO
4094_BLUE CROSS BLUE SHIELD PPO 20250101
Commercial
$1,310
FEE SCHEDULE
CIGNA HMO
4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701
Commercial
$1,750
FEE SCHEDULE
CIGNA HMO
4476_CIGNA HMO (WIL,DEL) 20250701
Commercial
$1,750
FEE SCHEDULE
AETNA SHA AISD
4335_AETNA SHA AISD 20250101
Commercial
$2,152
OTHER
AETNA ACO HMO
4489_AETNA ACO HMO 20250801
Commercial
$2,206
OTHER
AETNA MULTI-TIER WHOLE HEALTH SHA
4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801
Commercial
$2,421
OTHER
AETNA HMO
4486_AETNA HMO 20250801
Commercial
$2,691
OTHER
COVENANT HEALTH
4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801
Commercial
$2,691
OTHER
Ascension Seton Northwest: all 14 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
CHAMPVA
1135_CHAMPVA REST_TX 20180301
Military / VA
$275
FEE SCHEDULE
BCBS BAV EXCHANGE
4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101
Commercial
$311
FEE SCHEDULE
HUMANA HMO
2668_HUMANA HMO 20230701
Commercial
$493
OTHER
BCBS HPN
4440_BLUE CROSS BLUE SHIELD HPN 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HPN
4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HMO ESSENTIALS
4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101
Commercial
$1,184
FEE SCHEDULE
BCBS PPO
4094_BLUE CROSS BLUE SHIELD PPO 20250101
Commercial
$1,310
FEE SCHEDULE
CIGNA HMO
4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701
Commercial
$1,750
FEE SCHEDULE
CIGNA HMO
4476_CIGNA HMO (WIL,DEL) 20250701
Commercial
$1,750
FEE SCHEDULE
AETNA SHA AISD
4335_AETNA SHA AISD 20250101
Commercial
$2,152
OTHER
AETNA ACO HMO
4489_AETNA ACO HMO 20250801
Commercial
$2,206
OTHER
AETNA MULTI-TIER WHOLE HEALTH SHA
4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801
Commercial
$2,421
OTHER
AETNA HMO
4486_AETNA HMO 20250801
Commercial
$2,691
OTHER
COVENANT HEALTH
4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801
Commercial
$2,691
OTHER
Ascension Seton Smithville: all 14 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
CHAMPVA
1135_CHAMPVA REST_TX 20180301
Military / VA
$275
FEE SCHEDULE
BCBS BAV EXCHANGE
4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101
Commercial
$311
FEE SCHEDULE
HUMANA HMO
2668_HUMANA HMO 20230701
Commercial
$493
OTHER
BCBS HPN
4440_BLUE CROSS BLUE SHIELD HPN 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HPN
4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HMO ESSENTIALS
4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101
Commercial
$1,184
FEE SCHEDULE
BCBS PPO
4094_BLUE CROSS BLUE SHIELD PPO 20250101
Commercial
$1,310
FEE SCHEDULE
CIGNA HMO
4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701
Commercial
$1,750
FEE SCHEDULE
CIGNA HMO
4476_CIGNA HMO (WIL,DEL) 20250701
Commercial
$1,750
FEE SCHEDULE
AETNA SHA AISD
4335_AETNA SHA AISD 20250101
Commercial
$2,152
OTHER
AETNA ACO HMO
4489_AETNA ACO HMO 20250801
Commercial
$2,206
OTHER
AETNA MULTI-TIER WHOLE HEALTH SHA
4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801
Commercial
$2,421
OTHER
AETNA HMO
4486_AETNA HMO 20250801
Commercial
$2,691
OTHER
COVENANT HEALTH
4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801
Commercial
$2,691
OTHER
Ascension Seton Medical Center Austin: all 14 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
CHAMPVA
1135_CHAMPVA REST_TX 20180301
Military / VA
$275
FEE SCHEDULE
BCBS BAV EXCHANGE
4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101
Commercial
$311
FEE SCHEDULE
HUMANA HMO
2668_HUMANA HMO 20230701
Commercial
$493
OTHER
BCBS HPN
4440_BLUE CROSS BLUE SHIELD HPN 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HPN
4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HMO ESSENTIALS
4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101
Commercial
$1,184
FEE SCHEDULE
BCBS PPO
4094_BLUE CROSS BLUE SHIELD PPO 20250101
Commercial
$1,310
FEE SCHEDULE
CIGNA HMO
4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701
Commercial
$1,750
FEE SCHEDULE
CIGNA HMO
4476_CIGNA HMO (WIL,DEL) 20250701
Commercial
$1,750
FEE SCHEDULE
AETNA SHA AISD
4335_AETNA SHA AISD 20250101
Commercial
$2,152
OTHER
AETNA ACO HMO
4489_AETNA ACO HMO 20250801
Commercial
$2,206
OTHER
AETNA MULTI-TIER WHOLE HEALTH SHA
4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801
Commercial
$2,421
OTHER
AETNA HMO
4486_AETNA HMO 20250801
Commercial
$2,691
OTHER
COVENANT HEALTH
4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801
Commercial
$2,691
OTHER
Ascension Seton Edgar B. Davis: all 14 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
CHAMPVA
1135_CHAMPVA REST_TX 20180301
Military / VA
$275
FEE SCHEDULE
BCBS BAV EXCHANGE
4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101
Commercial
$311
FEE SCHEDULE
HUMANA HMO
2668_HUMANA HMO 20230701
Commercial
$493
OTHER
BCBS HPN
4440_BLUE CROSS BLUE SHIELD HPN 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HPN
4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HMO ESSENTIALS
4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101
Commercial
$1,184
FEE SCHEDULE
BCBS PPO
4094_BLUE CROSS BLUE SHIELD PPO 20250101
Commercial
$1,310
FEE SCHEDULE
CIGNA HMO
4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701
Commercial
$1,750
FEE SCHEDULE
CIGNA HMO
4476_CIGNA HMO (WIL,DEL) 20250701
Commercial
$1,750
FEE SCHEDULE
AETNA SHA AISD
4335_AETNA SHA AISD 20250101
Commercial
$2,152
OTHER
AETNA ACO HMO
4489_AETNA ACO HMO 20250801
Commercial
$2,206
OTHER
AETNA MULTI-TIER WHOLE HEALTH SHA
4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801
Commercial
$2,421
OTHER
AETNA HMO
4486_AETNA HMO 20250801
Commercial
$2,691
OTHER
COVENANT HEALTH
4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801
Commercial
$2,691
OTHER
Ascension Seton Hays: all 14 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
CHAMPVA
1135_CHAMPVA REST_TX 20180301
Military / VA
$275
FEE SCHEDULE
BCBS BAV EXCHANGE
4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101
Commercial
$311
FEE SCHEDULE
HUMANA HMO
2668_HUMANA HMO 20230701
Commercial
$493
OTHER
BCBS HPN
4440_BLUE CROSS BLUE SHIELD HPN 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HPN
4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HMO ESSENTIALS
4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101
Commercial
$1,184
FEE SCHEDULE
BCBS PPO
4094_BLUE CROSS BLUE SHIELD PPO 20250101
Commercial
$1,310
FEE SCHEDULE
CIGNA HMO
4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701
Commercial
$1,750
FEE SCHEDULE
CIGNA HMO
4476_CIGNA HMO (WIL,DEL) 20250701
Commercial
$1,750
FEE SCHEDULE
AETNA SHA AISD
4335_AETNA SHA AISD 20250101
Commercial
$2,152
OTHER
AETNA ACO HMO
4489_AETNA ACO HMO 20250801
Commercial
$2,206
OTHER
AETNA MULTI-TIER WHOLE HEALTH SHA
4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801
Commercial
$2,421
OTHER
AETNA HMO
4486_AETNA HMO 20250801
Commercial
$2,691
OTHER
COVENANT HEALTH
4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801
Commercial
$2,691
OTHER
Ascension Seton Southwest: all 14 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
CHAMPVA
1135_CHAMPVA REST_TX 20180301
Military / VA
$275
FEE SCHEDULE
BCBS BAV EXCHANGE
4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101
Commercial
$311
FEE SCHEDULE
HUMANA HMO
2668_HUMANA HMO 20230701
Commercial
$493
OTHER
BCBS HPN
4440_BLUE CROSS BLUE SHIELD HPN 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HPN
4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HMO ESSENTIALS
4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101
Commercial
$1,184
FEE SCHEDULE
BCBS PPO
4094_BLUE CROSS BLUE SHIELD PPO 20250101
Commercial
$1,310
FEE SCHEDULE
CIGNA HMO
4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701
Commercial
$1,750
FEE SCHEDULE
CIGNA HMO
4476_CIGNA HMO (WIL,DEL) 20250701
Commercial
$1,750
FEE SCHEDULE
AETNA SHA AISD
4335_AETNA SHA AISD 20250101
Commercial
$2,152
OTHER
AETNA ACO HMO
4489_AETNA ACO HMO 20250801
Commercial
$2,206
OTHER
AETNA MULTI-TIER WHOLE HEALTH SHA
4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801
Commercial
$2,421
OTHER
AETNA HMO
4486_AETNA HMO 20250801
Commercial
$2,691
OTHER
COVENANT HEALTH
4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801
Commercial
$2,691
OTHER
CHRISTUS Santa Rosa Hospital – San Marcos: all 10 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Humana
Choicecare
Commercial
$713
fee schedule
Community First Health Plan
HMO
Commercial
$880
other
Blue Cross Blue Shield Of Texas
HMO
Commercial
$1,125
fee schedule
Blue Cross Blue Shield Of Texas
PPO
Commercial
$1,231
fee schedule
Blue Cross Blue Shield Of Texas
Blue Advantage HMO
Commercial
$1,503
fee schedule
United Healthcare
All Payer
Commercial
$1,587
fee schedule
Blue Cross Blue Shield Of Texas
HEB
Commercial
$1,670
fee schedule
Cigna
New Business
Commercial
$1,764
fee schedule
Cigna
PPO
Commercial
$2,240
fee schedule
Five Point Credit Union
PPO
Commercial
$2,251
fee schedule
Dell Children's Medical Center: all 14 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
CHAMPVA
1135_CHAMPVA REST_TX 20180301
Military / VA
$275
FEE SCHEDULE
BCBS BAV EXCHANGE
4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101
Commercial
$311
FEE SCHEDULE
HUMANA HMO
2668_HUMANA HMO 20230701
Commercial
$493
OTHER
BCBS HPN
4440_BLUE CROSS BLUE SHIELD HPN 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HPN
4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501
Commercial
$1,075
FEE SCHEDULE
BCBS HMO ESSENTIALS
4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101
Commercial
$1,184
FEE SCHEDULE
BCBS PPO
4094_BLUE CROSS BLUE SHIELD PPO 20250101
Commercial
$1,310
FEE SCHEDULE
CIGNA HMO
4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701
Commercial
$1,750
FEE SCHEDULE
CIGNA HMO
4476_CIGNA HMO (WIL,DEL) 20250701
Commercial
$1,750
FEE SCHEDULE
AETNA SHA AISD
4335_AETNA SHA AISD 20250101
Commercial
$2,152
OTHER
AETNA ACO HMO
4489_AETNA ACO HMO 20250801
Commercial
$2,206
OTHER
AETNA MULTI-TIER WHOLE HEALTH SHA
4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801
Commercial
$2,421
OTHER
AETNA HMO
4486_AETNA HMO 20250801
Commercial
$2,691
OTHER
COVENANT HEALTH
4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801
Commercial
$2,691
OTHER
What this price covers
These are hospital charges for CPT code 77049 (Breast MRI (both breasts) with and without contrast). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.
How to ask for a lower price without insurance
Ask the hospital for a Good Faith Estimate. If you are uninsured or not using insurance, federal law entitles you to a written estimate on request, and automatically when you schedule at least three business days ahead (CMS: No Surprises Act).
Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.