CMS Price Transparency Data

MRI, brain (no contrast)

Facility: HCA Florida Kendall Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $4,180
Cash Discount Price: $16,822
vs. Medicare Baseline: 17.15x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at HCA Florida Kendall Hospital is $4,180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,822. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 17.15x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$16,822

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,180

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: $16,822 (6901%)

Insurance Median: $4,180 (1715%)

Cash: $16,822 (6901% of Medicare)

Ins. Median: $4,180 (1715% 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 1715% of the Medicare baseline (a markup of 1615%). 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	$518 - $7,570	212%
Avmed	$1,034 - $8,411	424%
Aetna	$1,116 - $5,047	458%
Freedom Health	$1,447 - $2,692	594%
Optimum	$1,447	594%
Simply Healthcare Plans	$2,187	897%
Corvel Corporation	$2,672	1096%
Careworks (Rockport)	$2,728	1119%
Prime Health	$2,728	1119%
Molina	$3,196 - $4,542	1311%
Health Sun Health Plan	$3,583	1470%
Aids Healthcare	$3,701 - $20,186	1518%
Mmm Of Fl (Health Advantage Plan)	$3,869	1587%
United Ppo	$3,987	1636%
Sunshine State Health Plan	$4,374	1794%
Plotkin Health	$8,411	3450%
Prime Health Sherriff	$8,411	3450%
Medica Healthcare	$9,757	4003%
Multiplan	$12,616 - $14,299	5175%
Evernorth Bh	$13,458	5521%

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 $16,822.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Kendall Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
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.