CarePlus Health Plans MRI Rates in Miami-Fort Lauderdale-West Palm Beach

Published CarePlus Health Plans negotiated rates for MRI at 7 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$242.63

Lakeside Medical Center

all plan types

Highest Rate

$2,939

Jackson West Medical Center

all plan types

Rate Spread

12x

across all plan types

Hospitals

7

with CarePlus Health Plans data

CarePlus Health Plans' negotiated MRI rates across seven Miami-Fort Lauderdale-West Palm Beach hospitals span a 12x range, from $242.63 at Lakeside Medical Center to $2,939 at Jackson West Medical Center. The median rate is $2,913, and the lowest figure reflects a Medicare Advantage plan rather than a commercial one.

Why the range is so wide: CarePlus Health Plans 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.

CarePlus Health Plans MRI Rates by Hospital

Hospital Lowest CarePlus Health Plans Rate
Lakeside Medical Center $242.63
Holy Cross Hospital $249.79
Mount Sinai Medical Center $550
Jackson Memorial Hospital $2,913
Jackson North Medical Center $2,913
Jackson South Medical Center $2,913
Jackson West Medical Center $2,913

Median of all 25 published CarePlus Health Plans rates for MRI at these hospitals: $2,913

Rates shown are CarePlus Health Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all CarePlus Health Plans 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 CarePlus Health Plans MRI Rates in Miami-Fort Lauderdale-West Palm Beach

Where Miami MRI rates start for CarePlus. The lowest published CarePlus Health Plans MRI rates in the table are $242.63 at Lakeside Medical Center, $249.79 at Holy Cross Hospital and $550 at Mount Sinai Medical Center. At the high end, Jackson West Medical Center shows $2,939, and Jackson Memorial Hospital, Jackson North Medical Center and Jackson South Medical Center list the same top figure.

How wide the CarePlus MRI spread runs. Across the 7 hospitals, the spread is 12x, and the median of all 25 published rates is $2,913. The plan types listed beside the lowest rates at Lakeside Medical Center and Holy Cross Hospital are Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans. Read each figure with its plan type in mind.

Questions for CarePlus and Miami hospitals before an MRI. These are facility rates, and professional fees are billed separately. A member can ask:

  • CarePlus for their own plan's negotiated rate and estimated cost share at a named hospital.
  • CarePlus whether that hospital is in network for their plan.
  • The hospital for an estimate of the MRI.

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

Understanding CarePlus Health Plans Negotiated Rates

A negotiated rate is the price CarePlus Health Plans 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 CarePlus Health Plans 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 Miami-Fort Lauderdale-West Palm Beach

View all MRI prices in Miami-Fort Lauderdale-West Palm Beach (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost CarePlus Health Plans MRI in Miami-Fort Lauderdale-West Palm Beach?

The lowest CarePlus Health Plans negotiated rate for MRI in Miami-Fort Lauderdale-West Palm Beach is $242.63 at Lakeside Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,939 at Jackson West Medical Center, a 12x difference. Commercial plan rates typically fall between these extremes.

Is the CarePlus Health Plans negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what CarePlus Health Plans 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 CarePlus Health Plans for a pre-service cost estimate specific to your plan.

How many Miami-Fort Lauderdale-West Palm Beach hospitals have published CarePlus Health Plans rates?

7 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published CarePlus Health Plans 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 CarePlus Health Plans directly.

Do I need a referral for an MRI with CarePlus Health Plans?

Most CarePlus Health Plans 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 CarePlus Health Plans before scheduling to confirm your plan's requirements.

We are not affiliated with CarePlus Health Plans 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 CarePlus Health Plans or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.