CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Larkin Community Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $376
  • Cash Discount Price: $3,312
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Larkin Community Hospital is $376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,312. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.05x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$3,312

Average discount available for prompt cash payment at this facility.

Insurance Median
$376

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: $3,312 (929%)
Insurance Median: $376 (105%)
Cash: $3,312 (929% of Medicare)
Ins. Median: $376 (105% 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.

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) $78 - $8,544 22%
Aetna $112 - $8,137 31%
Fci-All Plans $112 - $412 31%
Global Excel-All Plans $112 - $4,882 31%
Clear Springs Hlth-All Plans $117 - $376 33%
Fdc-All Plans $129 36%
UnitedHealthcare $140 - $484 39%
Medicaid / KanCare $178 - $1,327 50%
Corvel Mcaid Workers Comp $229 64%
Sunshine Behavioral $229 64%
Ambetter / Centene $255 72%
Community Care Phks Mcaid-All Other Plans $255 72%
Florida Comm Care Mcaid $255 72%
Humana $255 - $8,137 72%
Magellan Complete Care $255 72%
Molina Exch Marketplace-All Other Plans $255 72%
Blue Cross Blue Shield $341 - $2,263 96%
Florida Comm Care Mcare-All Other Plans $358 100%
Ops Maritime-All Plans $358 100%
Opus Hospice Ip Only-All Plans $358 100%
Preferred Care Partners Mcare-All Plans $358 100%
Unicare Simply Mcare Ppo-All Plans $376 105%
Wellpath-All Plans $394 111%
Allianz (Azga)-All Plans $466 131%
Healthsun-All Plans $550 154%
Cigna $630 177%
Jmh Health Plan Hmo/Ppo-All Other Plans $650 182%
Jipa Network-All Plans $863 242%
Florida Health Solution/Hmo-All Plans $900 253%
Avmed-All Plans $1,327 - $8,137 372%
Bright Health-All Other Plans $1,327 - $9,764 372%
Coventry Comml-All Plans $1,327 - $8,137 372%
Star Network-All Plans $3,255 913%
Haa Preferred Partners-All Plans $4,882 1370%
Corvel Mcare Workers Comp-All Plans $7,323 2055%
Careplus Health-All Other Plans $8,137 2283%
Centurion-All Plans $8,137 2283%
Doctors Healthcare-All Plans $8,137 2283%
First Med Hp Of Fl-All Plans $8,137 2283%
Oscar Health-All Plans $16,274 4566%

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