CMS Price Transparency Data

MRI, brain (no contrast)

Facility: HCA Florida Osceola Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $7,329
Cash Discount Price: $16,286
vs. Medicare Baseline: 30.07x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at HCA Florida Osceola Hospital is $7,329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,286. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 30.07x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$16,286

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,329

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $16,286 (6681%)

Insurance Median: $7,329 (3007%)

Cash: $16,286 (6681% of Medicare)

Ins. Median: $7,329 (3007% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 3007% of the Medicare baseline (a markup of 2907%). 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
United	$518 - $7,361	212%
Freedom Health	$1,167 - $1,178	479%
Optimum	$1,167 - $1,178	479%
Aetna	$1,580 - $4,908	648%
Avmed	$1,625 - $8,179	667%
Corvel Corporation	$2,454	1007%
Simply	$2,497 - $2,519	1024%
Prime Health	$2,506	1028%
Careworks (Rockport Community)	$2,583	1060%
Molina Healthcare	$3,080 - $4,417	1263%
Sunshine State Health Plan	$4,134 - $4,171	1696%
Plotkin Health	$8,106 - $8,179	3325%
Prime Health Sheriff	$8,106 - $8,179	3325%
Multiplan	$12,160 - $13,905	4988%
Evernorth	$12,970 - $13,087	5321%
Ppo Next	$13,781 - $13,905	5653%
Novanet	$14,592 - $14,723	5986%
Beacon Health Options	$16,213 - $16,359	6651%

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 $16,286.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Osceola Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
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.