CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: HCA Florida Putnam Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $3,336
Cash Discount Price: $10,076
vs. Medicare Baseline: 9.36x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at HCA Florida Putnam Hospital is $3,336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,076. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.36x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.

Cash / Self-Pay

$10,076

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,336

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: $10,076 (2827%)

Insurance Median: $3,336 (936%)

Cash: $10,076 (2827% of Medicare)

Ins. Median: $3,336 (936% 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 936% of the Medicare baseline (a markup of 836%). 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 - $4,534	232%
Aetna	$1,392 - $3,023	391%
Simply	$1,552	435%
Molina Healthcare	$1,914 - $3,224	537%
Sunshine State Health Plan	$2,569	721%
Avmed	$3,110 - $5,038	873%
Corvel Corporation	$3,368	945%
Prime Health	$3,438	965%
Careworks (Rockport Community)	$3,545	995%
Plotkin Health	$5,038	1413%
Prime Health Sheriff	$5,038	1413%
Multiplan	$7,859 - $8,565	2205%

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 $10,076.
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 Putnam 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.