CMS Price Transparency Data

MRI, brain (no contrast)

Facility: HCA Florida Fawcett Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,461
Cash Discount Price: $13,254
vs. Medicare Baseline: 10.10x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at HCA Florida Fawcett Hospital is $2,461. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,254. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.10x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$13,254

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,461

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: $13,254 (5437%)

Insurance Median: $2,461 (1010%)

Cash: $13,254 (5437% of Medicare)

Ins. Median: $2,461 (1010% 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 1010% of the Medicare baseline (a markup of 910%). 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 - $5,964	212%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$623	256%
Access 2 Healthcare Physicians Freedom Health	$954	391%
Access 2 Healthcare Physicians Optimum	$954	391%
Freedom Health Care	$1,034	424%
Optimum Healthcare	$1,034	424%
Avmed	$1,080 - $3,418	443%
Aetna	$1,101 - $3,976	452%
Simply Healthcare	$2,041	837%
Corvel Corporation	$2,410	989%
Rockport Healthcare Group	$2,410	989%
Prime Health	$2,461	1010%
Molina	$2,518 - $3,579	1033%
Sunshine State Health Plan	$3,380	1387%
Behealthy America	$5,169	2120%
Evolutions Healthcare Systems	$6,627 - $12,194	2719%
Plotkin Health	$6,627	2719%
Prime Health Sheriff	$6,627	2719%
Multiplan	$9,941 - $11,266	4078%

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 $13,254.
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 Fawcett 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.