CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Larkin Community Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $243
  • Cash Discount Price: $571
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Larkin Community Hospital is $243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $571. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.00x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$571

Average discount available for prompt cash payment at this facility.

Insurance Median
$243

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: $571 (234%)
Insurance Median: $243 (100%)
Cash: $571 (234% of Medicare)
Ins. Median: $243 (100% 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.

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
Medicare (plans) $50 - $5,808 21%
Jipa Network-All Plans $69 - $530 28%
Aetna $71 - $5,531 29%
Fci-All Plans $71 - $279 29%
Global Excel-All Plans $71 - $3,319 29%
Clear Springs Hlth-All Plans $75 - $255 31%
Medicaid / KanCare $75 - $816 31%
Fdc-All Plans $82 34%
UnitedHealthcare $89 - $328 37%
Avmed-All Plans $107 - $5,531 44%
Bright Health-All Other Plans $107 - $6,637 44%
Coventry Comml-All Plans $107 - $5,531 44%
Corvel Mcaid Workers Comp $138 57%
Sunshine Behavioral $138 57%
Ambetter / Centene $153 63%
Community Care Phks Mcaid-All Other Plans $153 63%
Florida Comm Care Mcaid $153 63%
Humana $153 - $5,531 63%
Magellan Complete Care $153 63%
Molina Exch Marketplace-All Other Plans $153 63%
Blue Cross Blue Shield $230 - $2,263 94%
Florida Comm Care Mcare-All Other Plans $243 100%
Ops Maritime-All Plans $243 100%
Opus Hospice Ip Only-All Plans $243 100%
Preferred Care Partners Mcare-All Plans $243 100%
Unicare Simply Mcare Ppo-All Plans $255 105%
Wellpath-All Plans $267 110%
Allianz (Azga)-All Plans $315 129%
Healthsun-All Plans $550 226%
Cigna $630 258%
Jmh Health Plan Hmo/Ppo-All Other Plans $650 267%
Florida Health Solution/Hmo-All Plans $900 369%
Star Network-All Plans $2,212 907%
Haa Preferred Partners-All Plans $3,319 1362%
Corvel Mcare Workers Comp-All Plans $4,978 2042%
Careplus Health-All Other Plans $5,531 2269%
Centurion-All Plans $5,531 2269%
Doctors Healthcare-All Plans $5,531 2269%
First Med Hp Of Fl-All Plans $5,531 2269%
Oscar Health-All Plans $11,062 4538%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals