CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: HCA Florida Jfk Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,329
Cash Discount Price: $10,300
vs. Medicare Baseline: 6.53x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at HCA Florida Jfk Hospital is $2,329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,300. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.53x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$10,300

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,329

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: $10,300 (2890%)

Insurance Median: $2,329 (653%)

Cash: $10,300 (2890% of Medicare)

Ins. Median: $2,329 (653% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 653% of the Medicare baseline (a markup of 553%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthy Palm Beaches	$550	154%
United	$828 - $4,635	232%
Freedom Health	$886 - $1,648	249%
Optimum	$886	249%
Avmed	$1,088 - $5,150	305%
Aetna	$1,200 - $3,090	337%
Simply Healthcare Plans	$1,339	376%
Molina	$1,751 - $2,781	491%
Health Sun Health Plan	$2,194	616%
Aids Healthcare	$2,266 - $12,360	636%
Mmm Of Fl (Health Advantage Plan)	$2,369	665%
United Ppo	$2,441	685%
Sunshine State Health Plan	$2,678	751%
Blis	$3,605	1011%
Corvel Corporation	$3,757	1054%
Careworks (Rockport)	$3,836	1076%
Prime Health	$3,836	1076%
District Cares	$5,150	1445%
Plotkin Health	$5,150	1445%
Prime Health Sherriff	$5,150	1445%
Medica Healthcare	$6,077	1705%
Multiplan	$7,725 - $8,755	2167%
Evernorth Bh	$8,240	2312%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $10,300.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Jfk Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.