CMS Price Transparency Data

MRI, brain (no contrast)

Facility: HCA Florida Memorial Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $3,418
  • Cash Discount Price: $14,234
  • vs. Medicare Baseline: 14.02x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at HCA Florida Memorial Hospital is $3,418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,234. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.02x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
$14,234

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,418

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: $14,234 (5839%)
Insurance Median: $3,418 (1402%)
Cash: $14,234 (5839% of Medicare)
Ins. Median: $3,418 (1402% 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 1402% of the Medicare baseline (a markup of 1302%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $6,405 212%
Aetna $946 - $4,270 388%
Optimum Healthcare $1,196 491%
Avmed $1,508 - $3,418 619%
Simply Healthcare $2,192 899%
City Of Jacksonville $2,450 1005%
Corvel Corporation $2,450 1005%
Prime Health $2,502 1026%
Positive Healthcare $3,131 1284%
Sunshine State Health Plan $3,630 1489%
Molina Healthcare $3,843 1576%
Plotkin Health $7,117 2920%
Multiplan $11,103 - $12,099 4555%
Evernorth $11,387 4671%
Evolutions Healthcare $11,387 - $12,099 4671%
Ppo Next $12,099 4963%
Novanet $12,811 5255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3625 University Blvd S, Jacksonville, FL 32216
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals