CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Larkin Community Hospital Behavioral Health Srvs

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $816
Cash Discount Price: $571
vs. Medicare Baseline: 3.35x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Larkin Community Hospital Behavioral Health Srvs is $816. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $571. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.35x the Medicare baseline. Located in 1201 N 37Th Ave, Hollywood, FL.

Cash / Self-Pay

$571

Average discount available for prompt cash payment at this facility.

Insurance Median

$816

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: $571 (234%)

Insurance Median: $816 (335%)

Cash: $571 (234% of Medicare)

Ins. Median: $816 (335% 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 335% of the Medicare baseline (a markup of 235%). 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
Clear Spring Health-All Plans	$72 - $5,446	30%
Community Care Plan-All Plans	$107 - $816	44%
Medicaid / KanCare	$107 - $816	44%
Miami Childrens Hp-All Plans	$107 - $816	44%
Sunshine Behav Mcaid	$107 - $816	44%
Bright Hlth Mcr Adv	$242	99%
Bright Hlth Comm - All Other Plans	$254	104%
Magellan Healthcare-All Plans	$3,319	1362%
Cigna	$3,872	1588%
Longevity Mcr Adv-All Plans	$5,186	2127%
Sunshine Behav Comm - All Other Plans	$5,186	2127%
Aetna	$5,531	2269%
Hma Mcr Adv	$5,965	2447%

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 $571.
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 Larkin Community Hospital Behavioral Health Srvs 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.