CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: HCA Florida Kendall Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $4,543
Cash Discount Price: $18,280
vs. Medicare Baseline: 12.75x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at HCA Florida Kendall Hospital is $4,543. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,280. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.75x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$18,280

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,543

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: $18,280 (5129%)

Insurance Median: $4,543 (1275%)

Cash: $18,280 (5129% of Medicare)

Ins. Median: $4,543 (1275% 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 1275% of the Medicare baseline (a markup of 1175%). 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 - $8,226	232%
Avmed	$1,034 - $9,140	290%
Aetna	$1,116 - $5,484	313%
Freedom Health	$1,572 - $2,925	441%
Optimum	$1,572	441%
Simply Healthcare Plans	$2,376	667%
Molina	$3,473 - $4,936	974%
Health Sun Health Plan	$3,894	1093%
Corvel Corporation	$3,902	1095%
Careworks (Rockport)	$3,984	1118%
Prime Health	$3,984	1118%
Aids Healthcare	$4,022 - $21,936	1128%
Mmm Of Fl (Health Advantage Plan)	$4,204	1179%
United Ppo	$4,332	1215%
Sunshine State Health Plan	$4,753	1334%
Plotkin Health	$9,140	2564%
Prime Health Sherriff	$9,140	2564%
Medica Healthcare	$10,602	2974%
Multiplan	$13,710 - $15,538	3846%
Evernorth Bh	$14,624	4103%

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 $18,280.
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 Kendall 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.