CMS Price Transparency Data

MRI, brain (no contrast)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $2,646
  • Cash Discount Price: $14,743
  • vs. Medicare Baseline: 10.85x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at HCA Florida Lawnwood Hospital is $2,646. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,743. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.85x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$14,743

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,646

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: $14,743 (6048%)
Insurance Median: $2,646 (1085%)
Cash: $14,743 (6048% of Medicare)
Ins. Median: $2,646 (1085% 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 1085% of the Medicare baseline (a markup of 985%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Blue Cross Blue Shield $167 - $14,460 69%
Pinnacol Workers Comp $377 155%
United $391 - $8,793 160%
Multiplan $393 - $17,587 161%
Rocky Mountain Health Plan $518 212%
Freedom Health $855 351%
Optimum $855 351%
Avmed $1,088 - $4,972 446%
Simply Healthcare Plans $1,293 530%
Aetna $1,499 - $2,984 615%
Molina $1,890 - $2,685 775%
Health Sun Health Plan $2,118 869%
Sunshine State Health Plan $2,536 1040%
Corvel Corporation $2,553 1047%
Careworks (Rockport) $2,607 1069%
Prime Health $2,607 - $17,587 1069%
Vail Health $2,970 1218%
Office Of Sheiff Highland Co $3,481 1428%
United Ppo $4,376 1795%
Plotkin Health $4,972 2040%
Prime Health Sherriff $4,972 2040%
Bright Health $5,862 2405%
Evernorth Bh $7,956 3264%
Cigna $12,506 5130%
Western Plains Community Health $12,702 5211%
Northcare $13,679 5611%
Physician Health Partners $13,679 5611%
Medical Development International $15,633 6413%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals