ProCare Advantage MRI Rates in Austin

Published ProCare Advantage negotiated rates for MRI at 7 hospitals in Austin, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$226.87

BSW Medical Center Marble Falls

all plan types

Highest Rate

$870.01

BSW Medical Center Taylor

all plan types

Rate Spread

across all plan types

Hospitals

with ProCare Advantage data

ProCare Advantage MRI rates in Austin vary dramatically, with a nearly 4x spread between the lowest rate of $226.87 and highest of $870.01 across 7 hospitals. The lowest rate at BSW Medical Center Marble Falls reflects Medicare Advantage pricing, while commercial rates typically run higher. The median rate stands at $230.14.

Why the range is so wide: ProCare Advantage negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

ProCare Advantage MRI Rates by Hospital

Hospital	Lowest ProCare Advantage Rate	Plan Type	Highest Rate	Plans
BSW Medical Center Marble Falls	$226.87	Medicare Advantage	$226.87	2
BSW Medical Center Austin	$230.14	Medicare Advantage	$230.14	2
BSW Medical Center Buda	$230.14	Medicare Advantage	$230.14	2
BSW Medical Center Lakeway	$230.14	Medicare Advantage	$230.14	2
BSW Medical Center Pflugerville	$230.14	Medicare Advantage	$230.14	2
BSW Medical Center Round Rock	$230.14	Medicare Advantage	$230.14	2
BSW Medical Center Taylor	$702.91	Medicare Advantage	$870.01	2

Rates shown are ProCare Advantage's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all ProCare Advantage plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Understanding ProCare Advantage Negotiated Rates

A negotiated rate is the price ProCare Advantage has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all ProCare Advantage plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for MRI in Austin

Curative $2,072.06 - $2,295.11 8 hospitals Aetna $230.14 - $1,942.02 7 hospitals Blue Cross Blue Shield of Texas $226.87 - $1,113.93 7 hospitals Baylor Scott & White Health Plan $205.27 - $1,854.56 7 hospitals Cigna $1,711 - $2,013 7 hospitals First Health/Coventry $2,231.45 - $2,471.66 7 hospitals

View all MRI prices in Austin (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost ProCare Advantage MRI in Austin?

The lowest ProCare Advantage negotiated rate for MRI in Austin is $226.87 at BSW Medical Center Marble Falls, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $870.01 at BSW Medical Center Taylor, a 4x difference. Commercial plan rates typically fall between these extremes.

Is the ProCare Advantage negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what ProCare Advantage has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact ProCare Advantage for a pre-service cost estimate specific to your plan.

How many Austin hospitals have published ProCare Advantage rates?

7 hospitals in the Austin area have published ProCare Advantage negotiated rates for MRI in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with ProCare Advantage directly.

Do I need a referral for an MRI with ProCare Advantage?

Most ProCare Advantage plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact ProCare Advantage before scheduling to confirm your plan's requirements.

We are not affiliated with ProCare Advantage or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact ProCare Advantage or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.

Visit the official ProCare Advantage website: www.procareadv.com