CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: HCA Florida Northwest Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $4,726
Cash Discount Price: $19,019
vs. Medicare Baseline: 13.26x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at HCA Florida Northwest Hospital is $4,726. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,019. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 13.26x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$19,019

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,726

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: $19,019 (5336%)

Insurance Median: $4,726 (1326%)

Cash: $19,019 (5336% of Medicare)

Ins. Median: $4,726 (1326% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1326% of the Medicare baseline (a markup of 1226%). 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	$828 - $8,559	232%
Aetna	$1,060 - $5,706	297%
Avmed	$1,088 - $9,510	305%
Freedom Health	$1,636 - $3,043	459%
Optimum	$1,636	459%
Simply Healthcare Plans	$2,472	694%
Molina	$3,614 - $5,135	1014%
Corvel Corporation	$3,934	1104%
Careworks (Rockport)	$4,017	1127%
Prime Health	$4,017	1127%
Health Sun Health Plan	$4,051	1137%
Mmm Of Fl (Health Advantage Plan)	$4,374	1227%
United Ppo	$4,508	1265%
Sunshine State Health Plan	$5,021	1409%
Blis	$6,657	1868%
Plotkin Health	$9,510	2668%
Prime Health Sherriff	$9,510	2668%
Medica Healthcare	$11,031	3095%
Multiplan	$14,264 - $16,166	4002%

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 $19,019.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Northwest Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
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.