CMS Price Transparency Data

MRI, brain (no contrast)

Facility: HCA Florida Putnam Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,542
Cash Discount Price: $8,200
vs. Medicare Baseline: 10.43x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at HCA Florida Putnam Hospital is $2,542. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,200. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.43x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.

Cash / Self-Pay

$8,200

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,542

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: $8,200 (3364%)

Insurance Median: $2,542 (1043%)

Cash: $8,200 (3364% of Medicare)

Ins. Median: $2,542 (1043% 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 1043% of the Medicare baseline (a markup of 943%). 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 - $3,690	212%
Simply	$1,263	518%
Aetna	$1,392 - $2,460	571%
Molina Healthcare	$1,558 - $2,624	639%
Sunshine State Health Plan	$2,091	858%
Corvel Corporation	$2,306	946%
Prime Health	$2,354	966%
Careworks (Rockport Community)	$2,427	996%
Avmed	$3,110 - $4,100	1276%
Plotkin Health	$4,100	1682%
Prime Health Sheriff	$4,100	1682%
Multiplan	$6,396 - $6,970	2624%

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 $8,200.
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 Putnam 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.