CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: HCA Florida Osceola Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $9,229
Cash Discount Price: $20,508
vs. Medicare Baseline: 25.89x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at HCA Florida Osceola Hospital is $9,229. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,508. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 25.89x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$20,508

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,229

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: $20,508 (5754%)

Insurance Median: $9,229 (2589%)

Cash: $20,508 (5754% of Medicare)

Ins. Median: $9,229 (2589% 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 2589% of the Medicare baseline (a markup of 2489%). 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	$828 - $9,271	232%
Freedom Health	$1,470 - $1,483	412%
Optimum	$1,470 - $1,483	412%
Aetna	$1,580 - $6,180	443%
Avmed	$1,625 - $10,301	456%
Simply	$3,144 - $3,173	882%
Corvel Corporation	$3,584	1006%
Prime Health	$3,660	1027%
Careworks (Rockport Community)	$3,773	1059%
Molina Healthcare	$3,879 - $5,562	1088%
Sunshine State Health Plan	$5,206 - $5,253	1461%
Plotkin Health	$10,207 - $10,301	2864%
Prime Health Sheriff	$10,207 - $10,301	2864%
Multiplan	$15,311 - $17,511	4296%
Evernorth	$16,332 - $16,481	4582%
Ppo Next	$17,353 - $17,511	4869%
Novanet	$18,373 - $18,541	5155%
Beacon Health Options	$20,415 - $20,601	5728%

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 $20,508.
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 Osceola 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.