CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $437
  • Cash Discount Price: $3,243
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Larkin Community Hospital Palm Springs Campus is $437. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,243. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.23x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$3,243

Average discount available for prompt cash payment at this facility.

Insurance Median
$437

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: $3,243 (910%)
Insurance Median: $437 (123%)
Cash: $3,243 (910% of Medicare)
Ins. Median: $437 (123% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Medicare (plans) $113 - $7,938 32%
Bright Health Commercial - All Other Plans $119 - $437 33%
Clear Springs Health - All Plans $119 - $383 33%
Aetna $255 - $364 72%
Florida Community Care Mcaid-All Plans $255 72%
Miami Childrens Hp Mcaid-All Plans $255 72%
Sunshine Mcaid $255 72%
Wellcare Mcaid $255 72%
Simply Healthcare Mcaid $278 78%
United Mcaid $278 78%
Florida Health Solution/Hmo - All Plans $300 84%
Ambetter / Centene $364 102%
Blue Cross Blue Shield $364 - $2,263 102%
Opus Hospice Ip Only - All Plans $364 102%
Unicare Simply Mcare Ppo - All Plans $383 107%
UnitedHealthcare $394 - $7,938 111%
Ccs - All Plans $492 138%
Fdc - All Plans $510 143%
Wellcare Comm (Choice) - All Other Plans $600 168%
Cigna $630 177%
Humana $788 - $7,938 221%
Leon Med Center Mcr Adv - All Plans $7,144 2004%
Careplus Health - All Other Plans $7,938 2227%
Centurion Doc - All Plans $7,938 2227%
Doctors Healthcare - All Plans $7,938 2227%
Preferred Care Partners Mcr - All Plans $7,938 2227%
Simply Healthcare Mcr - All Other Plans $7,938 2227%
Naphcare - All Plans $9,129 2561%
Oscar Health-All Plans $15,876 4454%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals