CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: HCA Florida Brandon Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $3,525
Cash Discount Price: $17,016
vs. Medicare Baseline: 9.89x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at HCA Florida Brandon Hospital is $3,525. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,016. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.89x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.

Cash / Self-Pay

$17,016

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,525

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: $17,016 (4774%)

Insurance Median: $3,525 (989%)

Cash: $17,016 (4774% of Medicare)

Ins. Median: $3,525 (989% 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 989% of the Medicare baseline (a markup of 889%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$800	224%
United	$828 - $7,657	232%
Avmed	$1,080 - $3,418	303%
Aetna	$1,186 - $5,105	333%
Access 2 Healthcare Physicians Freedom Health	$1,225	344%
Access 2 Healthcare Physicians Optimum	$1,225	344%
Freedom Health Care	$1,327	372%
Optimum Healthcare	$1,327	372%
Simply Healthcare	$2,620	735%
Molina	$3,233 - $4,594	907%
Corvel Corporation	$3,633	1019%
Rockport Healthcare Group	$3,633	1019%
Prime Health	$3,709	1041%
Sunshine State Health Plan	$4,339	1217%
Beacon Health Options	$8,508	2387%
Plotkin Health	$8,508	2387%
Prime Health Sheriff	$8,508	2387%
Evolutions Healthcare Systems	$10,210 - $15,655	2865%
Multiplan	$12,762 - $14,464	3581%
Evernorth	$13,613	3819%

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 $17,016.
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 Brandon 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.