CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: HCA Florida Oak Hill Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $3,264
Cash Discount Price: $14,186
vs. Medicare Baseline: 9.16x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at HCA Florida Oak Hill Hospital is $3,264. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,186. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.16x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.

Cash / Self-Pay

$14,186

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,264

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: $14,186 (3980%)

Insurance Median: $3,264 (916%)

Cash: $14,186 (3980% of Medicare)

Ins. Median: $3,264 (916% 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 916% of the Medicare baseline (a markup of 816%). 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	$667	187%
United	$828 - $6,384	232%
Aetna	$983 - $4,256	276%
Access 2 Healthcare Physicians Freedom Health	$1,021	286%
Access 2 Healthcare Physicians Optimum	$1,021	286%
Avmed	$1,080 - $3,418	303%
Freedom Health Care	$1,107	311%
Optimum Healthcare	$1,107	311%
Simply Healthcare	$2,185	613%
Molina	$2,695 - $3,830	756%
Sunshine State Health Plan	$3,617	1015%
Corvel Corporation	$3,633	1019%
Rockport Healthcare Group	$3,633	1019%
Prime Health	$3,709	1041%
Plotkin Health	$7,093	1990%
Prime Health Sheriff	$7,093	1990%
Evolutions Healthcare Systems	$8,512 - $13,051	2388%
Multiplan	$10,640 - $12,058	2985%

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 $14,186.
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 Oak Hill 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.