HealthSun Health Plans MRI Rates in Miami-Fort Lauderdale-West Palm Beach
Published HealthSun Health Plans negotiated rates for MRI at 20 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$224.25
Mount Sinai Medical Center
all plan types
Highest Rate
$3,848.75
HCA Florida Woodmont Hospital
all plan types
Rate Spread
17x
across all plan types
Hospitals
20
with HealthSun Health Plans data
HealthSun Health Plans MRI rates across 20 Miami-Fort Lauderdale-West Palm Beach hospitals span 18x, from $216.78 at Jackson Memorial Hospital to $3,848.75 at HCA Florida Woodmont Hospital. The median is $284.05. The lowest rates tend to reflect Medicare Advantage or Medicaid plans rather than commercial coverage.
HealthSun Health Plans MRI Rates by Hospital
| Hospital | Lowest HealthSun Health Plans Rate |
|---|---|
| Mount Sinai Medical Center | $224.25 |
| Holy Cross Hospital | $256.39 |
| Memorial Hospital Miramar | $284.05 |
| Memorial Hospital Pembroke | $284.05 |
| Memorial Hospital West | $284.05 |
| Memorial Regional Hospital | $284.05 |
| HCA Florida JFK Hospital | $1,477.15 |
| HCA Florida JFK North Hospital | $1,477.15 |
| HCA Florida Aventura Hospital | $1,550.43 |
| HCA Florida Mercy Hospital | $1,605.81 |
| HCA Florida University Hospital | $1,607.09 |
| HCA Florida Westside Hospital | $1,808.16 |
| HCA Florida Northwest Hospital | $2,399.23 |
| Jackson Memorial Hospital | $2,534.31 |
| Jackson North Medical Center | $2,534.31 |
| Jackson South Medical Center | $2,534.31 |
| Jackson West Medical Center | $2,534.31 |
| HCA Florida Palms West Hospital | $3,231.85 |
| HCA Florida Kendall Hospital | $3,294.26 |
| HCA Florida Woodmont Hospital | $3,848.75 |
Median of all 90 published HealthSun Health Plans rates for MRI at these hospitals: $2,534.31
Rates shown are HealthSun Health Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all HealthSun 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 HealthSun Health Plans MRI Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami MRI rates start for HealthSun. The lowest published rate is $216.78, listed at Jackson Memorial Hospital, Jackson North Medical Center and Jackson South Medical Center. At the other end, HCA Florida Woodmont Hospital shows $3,848.75, HCA Florida Kendall Hospital shows $3,294.26 and HCA Florida Palms West Hospital shows $3,231.85.
How wide the HealthSun MRI spread runs. Rates across the 20 hospitals spread 18x, and the median of all 90 published rates is $284.05. The plan types beside the lowest rates are labeled Medicare Advantage or Medicare, so the low end likely reflects those plans rather than commercial plans. The higher rates at the HCA Florida hospitals are tied to a different plan label, so the plan behind a given rate may not match your own.
What to ask HealthSun and a Miami hospital about an MRI. You can ask:
- HealthSun for your own plan's negotiated rate and estimated cost share at a named hospital.
- HealthSun whether that hospital is in network for your plan.
- The hospital for an estimate for your MRI.
These figures are facility rates, and professional fees such as the radiologist's reading are billed separately.
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding HealthSun Health Plans Negotiated Rates
A negotiated rate is the price HealthSun 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 HealthSun 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
Frequently Asked Questions
Where is the lowest-cost HealthSun Health Plans MRI in Miami-Fort Lauderdale-West Palm Beach?
The lowest HealthSun Health Plans negotiated rate for MRI in Miami-Fort Lauderdale-West Palm Beach is $224.25 at Mount Sinai Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,848.75 at HCA Florida Woodmont Hospital, a 17x difference. Commercial plan rates typically fall between these extremes.
Is the HealthSun Health Plans negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what HealthSun 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 HealthSun Health Plans for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published HealthSun Health Plans rates?
20 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published HealthSun 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 HealthSun Health Plans directly.
Do I need a referral for an MRI with HealthSun Health Plans?
Most HealthSun 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 HealthSun Health Plans before scheduling to confirm your plan's requirements.
We are not affiliated with HealthSun 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 HealthSun 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.