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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 $1,379 to $3,554 for identical care. The median cash price across 19 reporting hospitals is $1,482. The numbers are pulled directly from federally mandated hospital price transparency files.

The same brain mri that costs $170 at PAM Specialty Hospital of San Antonio LLC in San Antonio reaches $9,342 at METHODIST HOSPITAL WESTOVER HILLS in San Antonio — a 55× gap across the 19 San Antonio, TX hospitals reporting prices. The median San Antonio, TX price is $1,482. Most facilities fall between $1,208 and $3,554. Self-pay patients are quoted more than insurers actually pay: the median cash price is $1,482 versus a median negotiated rate of $223 — about 6.6× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. Where you go inside San Antonio, TX counts as much as which plan you have: San Antonio's median ($1,594) runs 1.2× New Braunfels's ($1,379).

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

The free toolkit shows you:

  • ✓ Why the exact same scan costs $400 at one site and $2,200 at another
  • ✓ The separate radiologist bill most patients miss (and how to verify it's in-network)
  • ✓ When contrast adds a charge — and when to ask if you need it
  • ✓ The questions to ask before scheduling that protect you from surprise bills
  • ✓ A real patient billing breakdown, line by line

Free for patients — takes 30 seconds to get.

We'll email it to you immediately. No account required, no spam.

Forecast your out-of-pocket cost

How prices are distributed across San Antonio, TX hospitals:
  • Lower-cost hospitals (bottom 25%): under $1,208
  • Median hospital: $1,482
  • Higher-cost hospitals (top 30%): $3,554+

That's a 3× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two commercially insured patients in San Antonio:
  • Patient A (higher-rate plan or out-of-network): ~$3,554
  • Patient B (lower-rate in-network plan): ~$1,379
Same procedure. Same week. $2,175 difference.

Where brain mri costs vary in San Antonio, TX

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

Hospital (below avg) Hospital (above avg) Click a pin for details.

See every San Antonio, TX hospital's price

The 5 cheapest are shown. Enter your email to reveal the rest of the map and unlock all 14 remaining facilities — instantly.

We'll email you the full San Antonio, TX price list as a PDF. Sourced from CMS files. No spam.

Estimate YOUR exact out-of-pocket cost →

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 Medina County Hospital District Hondo, TX $838 -$644
2 THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO San Antonio, TX $1,019 -$463
3 New Braunfels ER & Hospital New Braunfels, TX $1,038 -$444
4 Santa Rosa Hospital - New Braunfels New Braunfels, TX $1,379 -$103
5 Santa Rosa Hospital - Alamo Heights San Antonio, TX $1,379 -$103
6 Santa Rosa Emergency Center - Creekside New Braunfels, TX $1,379 -$103
7 Encompass Health Rehabilitation Hospital of San Antonio San Antonio, TX $1,419 -$63
8 Foundation Surgical Hospital of San Antonio San Antonio, TX $1,482 +$0

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

The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

Compare all procedure costs   → Brain MRI costs nationwide

Check YOUR hospital's pricing → Estimate YOUR exact cost →

Worth knowing: A small number of hospitals report very high prices above $8,806, which pulls the overall range wider than what most patients encounter. The typical range above is a better guide for planning.
Every hospital in this dataset offers a cash price — with a median of $1,482. If your deductible hasn't been met, always ask for the self-pay rate before scheduling.

What you'll actually pay — example scenarios

Your situation Estimated out-of-pocket
Deductible not yet met (pay in full) ~$1,482
Deductible met — 20% coinsurance ~$296
Out-of-network provider $3,260+

Based on the state median facility price of $1,482. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →

What this means for you

If you haven't met your deductible, you are effectively a cash-pay patient.

That means:

  • You should verify your hospital is in-network before an elective visit when possible
  • The cheapest facility can save you $1,312+ vs. the median.

This is the single biggest lever most patients have to reduce their cost.

Lower-cost options in San Antonio, TX start around $1,208 or below. Most hospitals cluster between $1,208 and $4,247. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Guadalupe Regional Medical Center in Seguin (cash price from $170); PAM Specialty Hospital of San Antonio LLC in San Antonio (cash price from $202); Medina County Hospital District in Hondo (cash price from $838). These are declared cash prices — contact each facility for a formal quote before scheduling.

Quick decision guide:
  • Best value hospitals (lowest prices): Guadalupe Regional Medical Center: $170; PAM Specialty Hospital of San Antonio LLC: $202; Medina County Hospital District: $838
  • Most expensive (outpatient): METHODIST HOSPITAL WESTOVER HILLS: ~$9,342; Resolute Health Hospital: ~$6,742

→ Choosing the right facility can save $1,312+ vs. the state median.

San Antonio, TX Brain MRI prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price" — We prioritize the most actionable price in this order:
  1. Cash price — the self-pay rate you can actually negotiate and pay
  2. Negotiated rate — if reported by the hospital across insurance contracts
  3. Gross charge — fallback only; this is the inflated list price few people pay

This reflects the real prices patients encounter — not inflated chargemaster rates.

# Facility City Your Price vs Median Gross Charge
#1 Guadalupe Regional Medical Center Seguin, TX $170 -$1,312 $341–$4,503
#2 PAM Specialty Hospital of San Antonio LLC San Antonio, TX $202 -$1,280 $202–$8,538
#3 Medina County Hospital District Hondo, TX $838 -$644 $931–$3,589
#4 THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO San Antonio, TX $1,019 -$463 $1,699–$3,707
#5 New Braunfels ER & Hospital New Braunfels, TX $1,038 -$444 $2,307–$9,025
#6 Santa Rosa Hospital - New Braunfels New Braunfels, TX $1,379 -$103 $4,181–$5,646
#7 Santa Rosa Hospital - Alamo Heights San Antonio, TX $1,379 -$103 $4,181–$5,646
#8 Santa Rosa Emergency Center - Creekside New Braunfels, TX $1,379 -$103 $4,181–$5,646
#9 Encompass Health Rehabilitation Hospital of San Antonio San Antonio, TX $1,419 -$63 $1,892–$3,734
#10 Foundation Surgical Hospital of San Antonio San Antonio, TX $1,482 +$0 $2,470–$3,772
#11 Children's Hospital San Antonio, TX $1,594 +$112 $4,832–$7,729
#12 Connally Memorial Medical Center Floresville, TX $2,100 +$618 $2,800–$4,433
#13 Bandera Family Hospital San Antonio, TX $2,610 +$1,128 $2,900
#14 Warm Springs Specialty Hospital of San Antonio, LLC San Antonio, TX $4,184 +$2,702 $4,184–$10,186
#15 Kindred Hospital San Antonio Central San Antonio, TX $4,310 +$2,828 $4,310–$6,063
#16 Kindred Hospital San Antonio San Antonio, TX $4,310 +$2,828 $4,310–$6,063
#17 Post Acute Medical of New Braunfels LLC New Braunfels, TX $4,686 +$3,204 $4,686–$11,408
#18 Resolute Health Hospital New Braunfels, TX $6,742 +$5,260 $8,990–$12,517
#19 METHODIST HOSPITAL WESTOVER HILLS San Antonio, TX $9,342 +$7,860 $9,342–$12,741

Unlock all 14 remaining San Antonio, TX hospitals

Enter your email to reveal the full table instantly — and we'll email you the complete price list as a PDF to keep.

We'll email you the full San Antonio, TX price list as a PDF. Sourced from CMS files. No spam.

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in San Antonio, TX:

Where you can save the most on brain mri in San Antonio, TX

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Facility City Your Price vs Median
Guadalupe Regional Medical Center Seguin, TX $170 -$1,312
PAM Specialty Hospital of San Antonio LLC San Antonio, TX $202 -$1,280
Medina County Hospital District Hondo, TX $838 -$644
THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO San Antonio, TX $1,019 -$463
New Braunfels ER & Hospital New Braunfels, TX $1,038 -$444

How to choose a lower-cost facility

  • Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
  • Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
  • Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Important: Many procedures are done at ambulatory surgical centers (ASCs) that are often 30–60% cheaper than hospital outpatient departments with the same clinical quality. Most ASCs are not in this hospital dataset — meaning your cheapest option may not even appear here. Ask your doctor if the procedure can be done at a freestanding ASC.

Most expensive brain mri providers in San Antonio, TX

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Facility City Price vs Median
METHODIST HOSPITAL WESTOVER HILLS San Antonio, TX $9,342 +$7,860
Resolute Health Hospital New Braunfels, TX $6,742 +$5,260
Post Acute Medical of New Braunfels LLC New Braunfels, TX $4,686 +$3,204
Kindred Hospital San Antonio Central San Antonio, TX $4,310 +$2,828
Kindred Hospital San Antonio San Antonio, TX $4,310 +$2,828

Why prices vary this much

A small number of hospitals (1) report very high prices above $8,806, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.

Setting drives much of the gap in San Antonio, TX: the median outpatient price is $1,482 versus $3,142 inpatient — about 2.1× more, so where a procedure is performed often matters more than which hospital you choose. Of the San Antonio, TX facilities reporting prices, 5 fall in a low-cost tier (up to $1,208) while 5 sit in a high-cost tier ($4,247 and up) — a lower-priced option almost always exists within the same state.

Among the cities with the most reporting hospitals, San Antonio has a median reported price of $1,594 across 11 facilities, while facilities in New Braunfels tend to report lower prices (median: $1,379). City-level variation within a state often reflects local market structure, not procedure complexity.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
Allowed amount vs negotiated rate — what your EOB is really saying
How to read your medical bill
Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
Deductible vs out-of-pocket max
EOB vs medical bill — complete guide
How to stop medical bill problems before they start (in-network vs out-of-network)

Compare brain mri costs in nearby states

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

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

Across 19 San Antonio, TX hospitals that publish prices, a brain mri ranges from $170 to $9,342, with a median of $1,482. Most facilities fall between $1,208 and $3,554. 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, New Braunfels has the lowest median ($1,379). Freestanding ambulatory surgery and 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 55× 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 $1,482 versus a median negotiated rate of $223 — about 6.6× higher. Asking for the cash price or 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.

Explore all brain mri cost data

See brain mri costs across all states

Where You Get a Brain MRI Matters

Hospital outpatient departments typically charge 2–4× more than ASCs or independent centers for the same procedure — same outcome, very different bill.

Hospital Outpatient Department

Hospital Outpatient Department typically carries a higher price for a brain mri. Facility fee billed separately from professional fee. Provider-based billing adds facility overhead. You can shop here — call ahead and ask for a self-pay or cash quote.

Independent Imaging Center

Independent Imaging Center typically carries the lowest typical price for a brain mri. Freestanding radiology centers. Technical component billed by center; professional (radiologist read) billed separately. You can shop here — call ahead and ask for a self-pay or cash quote.

Emergency Room Brain MRI

A Brain MRI performed in the emergency department can run 2–5× the cost of the identical scan at an outpatient or independent facility, because a hospital facility fee stacks on top. Use the ER only when the situation is medically urgent — it is not a setting where you can shop on price.

Brain MRI Cost With vs Without Contrast

Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.

MRI Brain Without Contrast

A standard brain mri with no contrast dye — the most common and lowest-cost version.

MRI Brain With Contrast

Uses contrast dye to highlight tissue. The dye and its administration are billed on top of the base scan.

MRI Brain With and Without Contrast

Two sets of images — before and after contrast — in one visit. It costs more than either alone because both sequences are performed and interpreted.

This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands

Brain MRI is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than Hospital OP, Imaging Center for identical clinical outcomes.

How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.

Prior Authorization Is Usually Required

Most commercial and Medicare Advantage plans require pre-approval for brain mri before scheduling. If your doctor submits the order without prior authorization — or if the authorization lapses — your insurer can deny the entire claim, leaving you responsible for the full cost.

Action step: Call the member services number on your insurance card before scheduling. Ask: "Does this procedure require prior authorization?" Get the authorization number in writing and confirm it's attached to the claim before your appointment.

Who performs this: Brain MRI is typically performed by a Radiology. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.


CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
Analyze your medical bill for errors
How to negotiate your medical bills
Track and manage your healthcare costs (free account)

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

The free toolkit shows you:

  • ✓ Why the exact same scan costs $400 at one site and $2,200 at another
  • ✓ The separate radiologist bill most patients miss (and how to verify it's in-network)
  • ✓ When contrast adds a charge — and when to ask if you need it
  • ✓ The questions to ask before scheduling that protect you from surprise bills
  • ✓ A real patient billing breakdown, line by line

Free for patients — takes 30 seconds to get.

We'll email it to you immediately. No account required, no spam.

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

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