CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Gulf Breeze Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$388

about 1.1× the $356 Medicare rate · typically $366–$870

modeled estimate · not a bill or quote

What this hospital charges insurers

$366

About the fair price

about $22 under the fair price · 1.0× Medicare

Medicare pays $356 Fair price $388 This hospital $366 Cash price $861 Hospital's list price $5,738

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $155 Priciest $366

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a MRI, brain (with and without contrast) is about $388 (about 1.1× the $356 Medicare rate). Gulf Breeze Hospital charges insurers about $366, or about $861 in cash — about the fair price. Located in Gulf Breeze, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$259 - $2,235	73%
Aetnamajor	$259 - $4,189	73%
Cignamajor	$2,726 - $5,738	765%
Humanamajor	$272 - $366	76%
Simply Healthcare	$298	84%
WellCare	$272 - $376	76%
+ 11 smaller / regional plans	$259 - $4,304

Government programs also on file: Medicare.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 861), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70553.

Insurance Before you use insurance

Call your insurance company to confirm Gulf Breeze Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70553.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Gulf Breeze Hospital

Compare: MRI, brain (with and without contrast) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.