CMS Price Transparency Data

MRI, brain (no contrast)

Facility: HCA Florida West Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,405
Cash Discount Price: $5,028
vs. Medicare Baseline: 9.87x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at HCA Florida West Hospital is $2,405. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,028. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.87x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.

Cash / Self-Pay

$5,028

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,405

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: $5,028 (2063%)

Insurance Median: $2,405 (987%)

Cash: $5,028 (2063% of Medicare)

Ins. Median: $2,405 (987% 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 987% of the Medicare baseline (a markup of 887%). 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
Freedom Health	$394 - $883	162%
Simply	$477 - $1,071	196%
United	$518 - $3,130	212%
Molina Healthcare	$589 - $2,226	242%
Sunshine State Health Plan	$790 - $1,774	324%
Aetna	$930 - $2,087	382%
Avmed	$1,550 - $3,478	636%
Plotkin Health	$1,550 - $3,478	636%
Prime Health Sheriff	$1,550 - $3,478	636%
Evolutions Healthcare	$2,015 - $5,913	827%
Corvel Corporation	$2,355	966%
Prime Health	$2,405	987%
Multiplan	$2,418 - $5,913	992%
Careworks (Rockport Community)	$2,479	1017%
Evernorth	$2,480 - $5,565	1017%
Ppo Next	$2,635 - $5,913	1081%
Novanet	$2,790 - $6,261	1145%
Beacon Health Options	$3,100 - $6,957	1272%

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 $5,028.
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 West 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.