CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: HCA Florida Trinity Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,842
Cash Discount Price: $9,973
vs. Medicare Baseline: 7.97x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at HCA Florida Trinity Hospital is $2,842. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,973. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.97x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.

Cash / Self-Pay

$9,973

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,842

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: $9,973 (2798%)

Insurance Median: $2,842 (797%)

Cash: $9,973 (2798% of Medicare)

Ins. Median: $2,842 (797% 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 797% of the Medicare baseline (a markup of 697%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$469	132%
Access 2 Healthcare Physicians Freedom Health	$718	201%
Access 2 Healthcare Physicians Optimum	$718	201%
Freedom Health Care	$778	218%
Optimum Healthcare	$778	218%
United	$828 - $4,488	232%
Aetna	$983 - $2,992	276%
Avmed	$1,080 - $3,418	303%
Simply Healthcare	$1,536	431%
Molina	$1,895 - $2,693	532%
Sunshine State Health Plan	$2,543	713%
Corvel Corporation	$3,633	1019%
Rockport Healthcare Group	$3,633	1019%
Prime Health	$3,709	1041%
Beacon Health Options	$4,986	1399%
Plotkin Health	$4,986	1399%
Prime Health Sheriff	$4,986	1399%
Evolutions Healthcare Systems	$5,984 - $9,175	1679%
Multiplan	$7,480 - $8,477	2099%
Evernorth	$7,978	2238%

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 $9,973.
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 Trinity 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.