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Brain MRI Cost in San Antonio, TX (2026): Average Prices & What You'll Pay

What does a brain mri cost in San Antonio, TX?

Where you have a brain mri done in San Antonio, TX swings the bill from $202 to $4,479 for identical care. The median cash price across 28 reporting hospitals is $1,419. The numbers are pulled directly from federally mandated hospital price transparency files. The sections below break this down by coverage and by insurer.

Three low-priced facilities in San Antonio, TX, from hospital price files

  • METHODIST TEXSAN HOSPITAL REHAB · San Antonio, TX $202
  • NORTHEAST METHODIST · San Antonio, TX $202
  • METHODIST TEXSAN HOSPITAL · San Antonio, TX $202

Free: the typical range and the facilities above. Add your email and we send the full ranked list of all 28 facilities (PDF) plus a checklist of what to ask before you book. We don't sell your information (privacy policy).

Where brain mri costs vary in San Antonio, TX

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby imaging centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.

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Hospital MRI costs run 2–5× more than independent imaging centers. Most patients never knew they had a choice.

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Cheapest Brain MRI Providers in San Antonio, TX

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 Hospital name hidden Your City, TX $464 -$000
2 METHODIST TEXSAN HOSPITAL REHAB San Antonio, TX $202 -$1,217
3 Hospital name hidden Your City, TX $462 -$000
4 NORTHEAST METHODIST San Antonio, TX $202 -$1,217
5 METHODIST TEXSAN HOSPITAL San Antonio, TX $202 -$1,217
6 Hospital name hidden Your City, TX $459 -$000
7 Hospital name hidden Your City, TX $458 -$000
8 Hospital name hidden Your City, TX $457 -$000

Your ranked price list is on its way to your email. Open the PDF now.

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Email me this price comparison plus what to ask before booking

Sends a PDF with all 28 facilities ranked cheapest first, plus a short checklist of questions that change what you pay. We don't sell your information (privacy policy).

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

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Quick take

  • PAM Specialty Hospital of San Antonio LLC is the lowest-cost option at $202 - $1,217 below the state median, just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $1,419, and it's often lower than what insurance pays before your deductible is satisfied.
  • Independent imaging centers often charge much less than hospital outpatient departments for the same scan and may not appear in this hospital-only dataset - ask your doctor whether one is an option.
Brain mri prices by coverage in San Antonio, TX, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$266 to $356$356
With insurance (commercial, average)19$270 to $1,504$584
Without insurance (cash price)31$202 to $9,740$1,419
Blue Cross and Blue Shield of Texas15$156 to $1,181$530
Aetna16$118 to $1,316$220
Humana10$269 to $550$272
Cigna8$22 to $1,289$556

Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.

How much does a brain mri cost with Medicare in San Antonio, TX?

Medicare's national hospital outpatient payment for brain mri is about $266 to $356 (typically near $356). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $71 on a $356 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.

Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.

How much does a brain mri cost with insurance in San Antonio, TX?

Across 19 San Antonio, TX hospitals, the negotiated rates commercial insurers pay for brain mri average $270 to $1,504 per hospital, with a median near $584. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.

Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.

How much does a brain mri cost without insurance in San Antonio, TX?

Cash (self-pay) prices for brain mri at 31 San Antonio, TX hospitals range from $202 to $9,740, with a median of $1,419. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.

Cash prices are the hospital’s published discounted rate for patients paying without insurance.

How much does a brain mri cost with Blue Cross and Blue Shield of Texas in San Antonio, TX?

Blue Cross and Blue Shield of Texas negotiated rates for brain mri at 15 San Antonio, TX hospitals range from $156 to $1,181, with a median near $530. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.

Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.

How much does a brain mri cost with Aetna in San Antonio, TX?

Aetna negotiated rates for brain mri at 16 San Antonio, TX hospitals range from $118 to $1,316, with a median near $220. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.

How much does a brain mri cost with Humana in San Antonio, TX?

Humana negotiated rates for brain mri at 10 San Antonio, TX hospitals range from $269 to $550, with a median near $272. If a hospital is out of network for your Humana plan, you may owe more than the negotiated rate, so check the network first.

How much does a brain mri cost with Cigna in San Antonio, TX?

Cigna negotiated rates for brain mri at 8 San Antonio, TX hospitals range from $22 to $1,289, with a median near $556. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.

Texas is the largest commercial hospital market in the country by revenue. HCA, Tenet, and Community Health Systems are significant for-profit players across the state. Dallas-Fort Worth, Houston, and San Antonio have genuine multi-system competition that creates real price variation. Rural Texas - particularly West Texas and the Panhandle - has extensive critical access hospital coverage where pricing differs substantially from urban PPS hospitals. Brain MRI pricing follows the same site-of-service pattern as other MRI, with hospital outpatient rates running 4–8× higher than freestanding imaging centers for an identical scan. With-contrast protocols (typically ordered for lesion characterization or post-treatment surveillance) carry a higher CPT code and higher price than non-contrast studies. If ordered as a non-urgent outpatient study, scheduling at a freestanding imaging center is the single most effective way to reduce cost.

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Why prices vary - and what it means for your coverage

Setting matters too: the median outpatient price is $1,038 versus $4,479 inpatient (about 4.3× more), so where a procedure happens often matters more than which hospital you pick. Whether the scan happens in a hospital outpatient department (which adds a separate facility fee) or a freestanding imaging center is usually the single biggest driver of price for this procedure.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$1,419
Deductible met - 20% coinsurance ~$284
Out-of-network provider $3,122+

Frequently asked questions: brain mri costs in San Antonio, TX

How much does a brain mri cost in San Antonio, TX?

The typical insurer-negotiated rate is $202, with most facilities between $137 and $204 (based on 21 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $170 to $9,740 across all 28 San Antonio, TX hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a brain mri in San Antonio, TX?

Based on declared prices, the lowest-cost facility in our San Antonio, TX data is Guadalupe Regional Medical Center in Seguin at about $170. By metro, San Antonio has the lowest median ($1,615). Independent imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is a brain mri so much cheaper at some San Antonio, TX hospitals?

Prices vary up to 57.3× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In San Antonio, TX, the median cash (self-pay) price is $1,419 versus a median negotiated rate of $584 - about 2.4× higher. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a brain mri in San Antonio, TX?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in San Antonio, TX

Brain MRI, elsewhere

What matters before you schedule

Imaging center vs. hospital

Hospital outpatient departments typically charge 2-4x more than independent imaging centers for the same brain mri - same outcome, very different bill. The ER charges the most of any setting and should only be used when the situation is medically urgent. Call ahead and ask for a self-pay or cash quote at each setting you're considering.

With vs. without contrast

Which type your doctor orders for this brain mri changes the billing code, and what you pay. For example: A standard brain mri with no contrast dye - the most common and lowest-cost version.

This is shoppable

Brain MRI is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.

What to ask before you book

Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for brain mri before you schedule.


CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in San Antonio, TX

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published June 12, 2026 · Updated October 26, 2026

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