CMS Price Transparency Data

MRI, brain (with and without contrast)

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

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,465
Cash Discount Price: $3,815
vs. Medicare Baseline: 4.11x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $1,465. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,815. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.11x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.

Cash / Self-Pay

$3,815

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,465

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: $3,815 (1070%)

Insurance Median: $1,465 (411%)

Cash: $3,815 (1070% of Medicare)

Ins. Median: $1,465 (411% 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 411% of the Medicare baseline (a markup of 311%). 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	$72	20%
United Hc	$75 - $7,630	21%
Blue Cross Blue Shield	$105 - $5,734	29%
Aetna	$107 - $4,196	30%
Devoted	$107 - $1,611	30%
Humana	$107 - $4,960	30%
Careplus	$112 - $1,538	31%
Baycare	$115 - $1,538	32%
Freedom Health	$118 - $228	33%
Health First	$118 - $4,196	33%
Optimum	$118 - $228	33%
Evolutions	$126 - $6,104	35%
Cigna	$136 - $4,578	38%
Avmed	$150 - $4,578	42%
Multiplan	$171 - $6,104	48%
Molina	$1,495	419%
Emerging Therapies	$4,578	1284%
UnitedHealthcare	$4,578	1284%
First Health	$5,722	1605%

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 $3,815.
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 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 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.