CMS Price Transparency Data

MRI, brain (no contrast)

Facility: HCA Florida Raulerson Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $2,745
  • Cash Discount Price: $9,633
  • vs. Medicare Baseline: 11.26x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at HCA Florida Raulerson Hospital is $2,745. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,633. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.26x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$9,633

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,745

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: $9,633 (3952%)
Insurance Median: $2,745 (1126%)
Cash: $9,633 (3952% of Medicare)
Ins. Median: $2,745 (1126% 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 1126% of the Medicare baseline (a markup of 1026%). 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
United $518 - $4,335 212%
Freedom Health $828 340%
Optimum $828 340%
Avmed $1,088 - $4,816 446%
Simply Healthcare Plans $1,252 514%
Aetna $1,499 - $2,890 615%
Molina $1,830 - $2,601 751%
Health Sun Health Plan $2,052 842%
Corvel Corporation $2,306 946%
Careworks (Rockport) $2,354 966%
Prime Health $2,354 966%
Sunshine State Health Plan $2,456 1008%
United Ppo $4,239 1739%
Plotkin Health $4,816 1976%
Prime Health Sherriff $4,816 1976%
Multiplan $7,225 - $8,188 2964%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals