AmeriHealth Caritas MRI Rates in Orlando

Published AmeriHealth Caritas negotiated rates for MRI at 5 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.

Limited coverage: Orlando Health's Orlando-area hospitals, including Orlando Regional Medical Center, are not included: Orlando Health's website blocked downloads of its price files when we collected this data. Prices for the Orlando area come only from the AdventHealth, HCA Florida, UF Health and Nemours hospitals listed here, so they may not reflect the whole Orlando market.

Lowest Rate

$2,915

HCA Florida Oviedo Medical Center

all plan types

Highest Rate

$8,179.38

HCA Florida Osceola Hospital

all plan types

Rate Spread

3x

across all plan types

Hospitals

5

with AmeriHealth Caritas data

AmeriHealth Caritas MRI rates in Orlando range from $2,915 at HCA Florida Oviedo Medical Center to $8,179.38 at HCA Florida Osceola Hospital, a nearly threefold spread across five hospitals. The median negotiated rate is $7,731.89. Lower rates may reflect Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: AmeriHealth Caritas negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

AmeriHealth Caritas MRI Rates by Hospital

Hospital Lowest AmeriHealth Caritas Rate
HCA Florida Oviedo Medical Center $2,915
HCA Florida Lake Monroe Hospital $3,111.63
UCF Lake Nona Hospital $7,356.48
HCA Florida Poinciana Hospital $7,375.55
HCA Florida Osceola Hospital $7,808.18

Median of all 12 published AmeriHealth Caritas rates for MRI at these hospitals: $7,731.89

Rates shown are AmeriHealth Caritas's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all AmeriHealth Caritas plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Reading AmeriHealth Caritas MRI Rates in Orlando

Where Orlando MRI rates begin and top out. Among the 5 hospitals with AmeriHealth Caritas rates, the lowest published figures are $2,915 at HCA Florida Oviedo Medical Center and $3,111.63 at HCA Florida Lake Monroe Hospital. At the other end, HCA Florida Osceola Hospital shows a high of $8,179.38, the top rate on the page.

How wide the AmeriHealth Caritas MRI spread runs. The page shows a 3x spread between the lowest and highest rates, and the median of all 12 published rates is $7,731.89. The plan type beside each lowest rate is listed as HIX, which does not say which specific plan sits behind a figure, so the plan behind a rate is not always stated clearly. A rate at the low end may not match the plan you hold.

What to ask about an Orlando MRI. These are facility rates, and professional fees such as the radiologist's reading are billed separately. Questions to bring:

  • Ask AmeriHealth Caritas for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask whether that hospital is in network for your plan.
  • Ask the hospital for an estimate before the visit.

Written from the rates in the table above. General information, not medical or insurance advice.

Understanding AmeriHealth Caritas Negotiated Rates

A negotiated rate is the price AmeriHealth Caritas has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all AmeriHealth Caritas plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for MRI in Orlando

View all MRI prices in Orlando (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost AmeriHealth Caritas MRI in Orlando?

The lowest AmeriHealth Caritas negotiated rate for MRI in Orlando is $2,915 at HCA Florida Oviedo Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $8,179.38 at HCA Florida Osceola Hospital, a 3x difference. Commercial plan rates typically fall between these extremes.

Is the AmeriHealth Caritas negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what AmeriHealth Caritas has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact AmeriHealth Caritas for a pre-service cost estimate specific to your plan.

How many Orlando hospitals have published AmeriHealth Caritas rates?

5 hospitals in the Orlando area have published AmeriHealth Caritas negotiated rates for MRI in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with AmeriHealth Caritas directly.

Do I need a referral for an MRI with AmeriHealth Caritas?

Most AmeriHealth Caritas plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact AmeriHealth Caritas before scheduling to confirm your plan's requirements.

We are not affiliated with AmeriHealth Caritas or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact AmeriHealth Caritas or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.