CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Central Florida Lake Monroe Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,628
about 7.4× the $356 Medicare rate · typically $461–$2,992
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,110
Above the fair price
about $482 over the fair price · 8.7× Medicare
Medicare pays $356 Fair price $2,628 This hospital $3,110 Cash price $24,331 Hospital's list price $24,331

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $155 Priciest $3,110

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (with and without contrast) is about $2,628 (about 7.4× the $356 Medicare rate). Central Florida Lake Monroe Hospital charges insurers about $3,110, or about $24,331 in cash — above the fair price. Located in Sanford, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,628. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $828 - $10,949 232%
Aetnamajor $1,580 - $7,299 443%
AvMed $3,110 - $12,166 873%
Molina $4,623 - $7,786 1297%
+ 6 smaller / regional plans $1,752 - $21,898
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1401 W Seminole Blvd, Sanford, FL 32771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals