Florida Blue MRI Rates in Orlando
Published Florida Blue negotiated rates for MRI at 5 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$249.17
AdventHealth Orlando
all plan types
Highest Rate
$3,232.48
Nemours Children's Hospital, Florida
all plan types
Rate Spread
13x
across all plan types
Hospitals
5
with Florida Blue data
Florida Blue's negotiated MRI rates in Orlando span 13x, from $249.17 at AdventHealth Orlando to $3,232.48 at Nemours Children's Hospital, Florida. The median across five hospitals is $1,723.68. The lowest rates often reflect Medicaid or Medicare managed care plans rather than commercial coverage.
Florida Blue MRI Rates by Hospital
| Hospital | Lowest Florida Blue Rate |
|---|---|
| AdventHealth Orlando | $249.17 |
| AdventHealth Waterman | $256.64 |
| UF Health Leesburg Hospital | $1,434.88 |
| UF Health The Villages Hospital | $1,434.88 |
| Nemours Children's Hospital, Florida | $1,534.51 |
Median of all 71 published Florida Blue rates for MRI at these hospitals: $1,723.68
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.
Reading Florida Blue MRI Rates in Orlando
Where Orlando MRI rates start and end at Florida Blue. The lowest published rate is $249.17 at AdventHealth Orlando, followed by AdventHealth Waterman at $256.64. At the other end, Nemours Children's Hospital, Florida shows $3,232.48 as its highest, while UF Health The Villages Hospital tops out at $1,754.94 and UF Health Leesburg Hospital at $1,723.68.
Reading the 13x Florida Blue spread. Across the 5 hospitals, rates run 13x from lowest to highest, and the median of all 71 published rates is $1,723.68. The plan types beside the lowest rates are Medicare Managed Care plans, so the low end likely reflects those plans rather than commercial plans. A published rate does not always match the plan a given member holds.
Questions for Florida Blue and your Orlando hospital. These are facility rates, and professional fees such as the radiologist's reading are billed separately. A member can ask:
- Florida Blue for the negotiated rate and estimated cost share for their own plan at a named hospital.
- Florida Blue whether that hospital is in network for their plan.
- The hospital for an estimate for the scan.
Written from the rates in the table above. General information, not medical or insurance advice.
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 Orlando
Frequently Asked Questions
Where is the lowest-cost Florida Blue MRI in Orlando?
The lowest Florida Blue negotiated rate for MRI in Orlando is $249.17 at AdventHealth Orlando, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,232.48 at Nemours Children's Hospital, Florida, a 13x 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 Orlando hospitals have published Florida Blue rates?
5 hospitals in the Orlando 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