Florida Blue MRI Rates in Lakeland-Winter Haven

Published Florida Blue negotiated rates for MRI at 5 hospitals in Lakeland-Winter Haven, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$242.63

Bartow Regional Medical Center

all plan types

Highest Rate

$5,496

Lakeland Regional Health Medical Center

all plan types

Rate Spread

23x

across all plan types

Hospitals

5

with Florida Blue data

Florida Blue MRI rates in Lakeland-Winter Haven span a 23x range, from $242.63 at Bartow Regional Medical Center to $5,496 at Lakeland Regional Health Medical Center. The median across five hospitals is $3,902. The lowest figure is a Medicare HMO rate, and lower rates in this data often reflect Medicaid or Medicare plans rather than commercial ones.

Why the range is so wide: Florida Blue 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.

Florida Blue MRI Rates by Hospital

Hospital Lowest Florida Blue Rate
Bartow Regional Medical Center $242.63
Winter Haven Hospital $242.63
AdventHealth Heart of Florida $256.64
AdventHealth Lake Wales $256.64
Lakeland Regional Health Medical Center $3,672

Median of all 157 published Florida Blue rates for MRI at these hospitals: $3,902

Rates shown are Florida Blue's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Florida Blue 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.

Understanding Florida Blue Negotiated Rates

A negotiated rate is the price Florida Blue 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 Florida Blue 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 Lakeland-Winter Haven

View all MRI prices in Lakeland-Winter Haven (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Florida Blue MRI in Lakeland-Winter Haven?

The lowest Florida Blue negotiated rate for MRI in Lakeland-Winter Haven is $242.63 at Bartow Regional Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $5,496 at Lakeland Regional Health Medical Center, a 23x difference. Commercial plan rates typically fall between these extremes.

Is the Florida Blue negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Florida Blue 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 Florida Blue for a pre-service cost estimate specific to your plan.

How many Lakeland-Winter Haven hospitals have published Florida Blue rates?

5 hospitals in the Lakeland-Winter Haven area have published Florida Blue 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 Florida Blue directly.

Do I need a referral for an MRI with Florida Blue?

Most Florida Blue 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 Florida Blue before scheduling to confirm your plan's requirements.

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

Visit the official Florida Blue website: www.floridablue.com