CMS Price Transparency Data

MRI, brain (no contrast)

Facility: HCA Florida Mercy Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,986
Cash Discount Price: $7,539
vs. Medicare Baseline: 8.15x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at HCA Florida Mercy Hospital is $1,986. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,539. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.15x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$7,539

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,986

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: $7,539 (3093%)

Insurance Median: $1,986 (815%)

Cash: $7,539 (3093% of Medicare)

Ins. Median: $1,986 (815% 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 815% of the Medicare baseline (a markup of 715%). 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 - $3,393	212%
Freedom Health	$648 - $1,206	266%
Optimum	$648	266%
Simply Healthcare Plans	$980	402%
Avmed	$1,034 - $3,770	424%
Aetna	$1,116 - $2,262	458%
Molina	$1,432 - $2,036	587%
Health Sun Health Plan	$1,606	659%
Aids Healthcare	$1,659 - $9,047	681%
Mmm Of Fl (Health Advantage Plan)	$1,734	711%
United Ppo	$1,787	733%
Sunshine State Health Plan	$1,960	804%
Corvel Corporation	$2,672	1096%
Careworks (Rockport)	$2,728	1119%
Prime Health	$2,728	1119%
Plotkin Health	$3,770	1547%
Prime Health Sherriff	$3,770	1547%
Medica Healthcare	$4,448	1825%
Multiplan	$5,654 - $6,408	2319%
Evernorth Bh	$6,031	2474%

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 $7,539.
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 Mercy 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.