AmeriHealth Caritas MRI Rates in Sarasota-Bradenton
Published AmeriHealth Caritas negotiated rates for MRI at 5 hospitals in Sarasota-Bradenton, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$58.42
Sarasota Memorial Hospital
all plan types
Highest Rate
$4,484.94
HCA Florida Sarasota Doctors Hospital
all plan types
Rate Spread
77x
across all plan types
Hospitals
5
with AmeriHealth Caritas data
AmeriHealth Caritas MRI rates in Sarasota-Bradenton span a 77x gap, from $58.42 at Sarasota Memorial Hospital to $4,484.94 at HCA Florida Sarasota Doctors Hospital. The median across five hospitals is $168.44. The lowest figure is a Medicaid HMO rate, and rates for other plan types can differ.
AmeriHealth Caritas MRI Rates by Hospital
| Hospital | Lowest AmeriHealth Caritas Rate |
|---|---|
| Sarasota Memorial Hospital | $58.42 |
| Sarasota Memorial Hospital - Venice | $168.44 |
| HCA Florida Blake Hospital | $2,994.36 |
| HCA Florida Englewood Hospital | $3,372.88 |
| HCA Florida Sarasota Doctors Hospital | $4,484.94 |
Median of all 18 published AmeriHealth Caritas rates for MRI at these hospitals: $168.44
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 Sarasota-Bradenton
Where Sarasota MRI rates start for AmeriHealth Caritas. The lowest published rate is $58.42 at Sarasota Memorial Hospital, followed by $168.44 at Sarasota Memorial Hospital - Venice. At the other end, HCA Florida Sarasota Doctors Hospital shows $4,484.94, and HCA Florida Englewood Hospital lists a lowest rate of $3,372.88 and HCA Florida Blake Hospital $2,994.36.
How wide the Sarasota-Bradenton MRI spread runs. Rates across the 5 hospitals span 77x, and the median of all 18 published rates is $168.44. The plan types listed beside the two lowest rates are Medicaid HMO, so the low end likely reflects those plans rather than commercial plans. The higher rates at the HCA Florida hospitals are listed under HIX plans.
Questions for AmeriHealth Caritas about a Sarasota MRI. Members can ask:
- AmeriHealth Caritas for the negotiated rate and estimated cost share under their own plan at a named hospital, and whether that hospital is in network for their plan.
- The hospital for an estimate.
These figures are facility rates, and professional fees are billed separately.
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 Sarasota-Bradenton
Frequently Asked Questions
Where is the lowest-cost AmeriHealth Caritas MRI in Sarasota-Bradenton?
The lowest AmeriHealth Caritas negotiated rate for MRI in Sarasota-Bradenton is $58.42 at Sarasota Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,484.94 at HCA Florida Sarasota Doctors Hospital, a 77x 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 Sarasota-Bradenton hospitals have published AmeriHealth Caritas rates?
5 hospitals in the Sarasota-Bradenton 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.