CMS Price Transparency Data

MRI, brain (no contrast)

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,074
Cash Discount Price: $2,798
vs. Medicare Baseline: 4.41x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $1,074. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,798. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.41x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.

Cash / Self-Pay

$2,798

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,074

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: $2,798 (1148%)

Insurance Median: $1,074 (441%)

Cash: $2,798 (1148% of Medicare)

Ins. Median: $1,074 (441% 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 441% of the Medicare baseline (a markup of 341%). 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
Simply	$58	24%
United Hc	$61 - $5,595	25%
Blue Cross Blue Shield	$68 - $4,205	28%
Aetna	$69 - $3,077	28%
Devoted	$69 - $1,182	28%
Humana	$69 - $3,637	28%
Careplus	$73 - $1,128	30%
Baycare	$74 - $1,128	30%
Freedom Health	$76 - $137	31%
Health First	$76 - $3,077	31%
Optimum	$76 - $137	31%
Evolutions	$82 - $4,476	34%
Cigna	$86 - $3,357	35%
Avmed	$97 - $3,357	40%
Multiplan	$111 - $4,476	46%
Molina	$1,097	450%
Emerging Therapies	$3,357	1377%
UnitedHealthcare	$3,357	1377%
First Health	$4,196	1721%

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 $2,798.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
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.