Humana MRI Rates in Jacksonville

Published Humana negotiated rates for MRI at 10 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$153.12

Baptist Medical Center Clay

all plan types

Highest Rate

$245.06

Ascension St. Vincent's St. Johns County

all plan types

Rate Spread

across all plan types

Hospitals

with Humana data

Humana's negotiated MRI rates across 10 Jacksonville hospitals range from $153.12 at Baptist Medical Center Clay to $245.06 at Ascension St. Vincent's St. Johns County, a spread of roughly 2x. The lowest figure reflects a Managed Medicaid plan, which often prices below commercial plans. The median rate is $243.85, close to the top of the range.

Why the range is so wide: Humana 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.

Humana MRI Rates by Hospital

Hospital	Lowest Humana Rate	Plan Type	Highest Rate	Plans
Baptist Medical Center Clay	$153.12	Managed Medicaid	$153.12	2
Baptist Medical Center Nassau	$153.12	Managed Medicaid	$153.12	2
Baptist Medical Center South	$153.12	Managed Medicaid	$153.12	2
Baptist Medical Center Jacksonville	$168.43	Managed Medicaid	$168.43	2
Wolfson Children's Hospital	$168.43	Managed Medicaid	$168.43	2
UF Health Jacksonville	$168.43	MEDICAID HMO	$4,160.84	20
Ascension St. Vincent's Southside	$232.92	1535_MEDICARE ADVANTAGE HUMANA HMO CARDIOLOGY INPATIENT 20251001	$245.06	10
Ascension St. Vincent's Clay County	$235.35	1813_MEDICARE ADVANTAGE HUMANA HMO CARDIOLOGY INPATIENT SCFL 20251001	$245.06	10
Ascension St. Vincent's Riverside	$235.35	1662_MEDICARE ADVANTAGE HUMANA HMO CARDIOLOGY INPATIENT 20251001	$245.06	10
Ascension St. Vincent's St. Johns County	$237.78	1595_MEDICARE ADVANTAGE HUMANA PPO OUTPATIENT 20250101	$245.06	8

Median of all 68 published Humana rates for MRI at these hospitals: $243.85

Rates shown are Humana's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Humana 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 Humana MRI Rates in Jacksonville

Where Humana MRI rates start in Jacksonville. The lowest published rate is $153.12, listed at Baptist Medical Center Clay, Baptist Medical Center Nassau and Baptist Medical Center South. At the other end, Ascension St. Vincent's Southside, Ascension St. Vincent's Clay County and Ascension St. Vincent's St. Johns County show a highest rate of $245.06.

How far the Jacksonville MRI spread runs for Humana. The page shows a 2x spread, and the median of all 68 published Humana rates for this procedure at these hospitals is $243.85. The plan types beside the lowest rates read Managed Medicaid and MEDICAID HMO, so the low end likely reflects those plans rather than commercial plans. The higher rates at Ascension St. Vincent's hospitals carry Medicare Advantage labels.

What a Humana member can ask about a Jacksonville MRI. Questions to bring:

To Humana: what is the negotiated rate and the estimated cost share for my own plan at a named hospital?
To Humana: is that hospital in network for my plan?
To the hospital: can I get an estimate for the MRI?

These figures are facility rates, and professional fees, such as a radiologist's reading, are billed separately.

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

Understanding Humana Negotiated Rates

A negotiated rate is the price Humana 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 Humana 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 Jacksonville

Cigna $245.06 - $12,446.89 13 hospitals UnitedHealthcare $168.43 - $7,001.37 13 hospitals Aetna $169.25 - $4,667.58 13 hospitals AvMed $436.73 - $3,623 13 hospitals Molina Healthcare $182.21 - $4,978.76 13 hospitals Florida Blue $242.63 - $2,257.45 11 hospitals

View all MRI prices in Jacksonville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Humana MRI in Jacksonville?

The lowest Humana negotiated rate for MRI in Jacksonville is $153.12 at Baptist Medical Center Clay, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $245.06 at Ascension St. Vincent's St. Johns County, a 2x difference. Commercial plan rates typically fall between these extremes.

Is the Humana negotiated rate what I'll pay?

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

How many Jacksonville hospitals have published Humana rates?

10 hospitals in the Jacksonville area have published Humana 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 Humana directly.

Do I need a referral for an MRI with Humana?

Most Humana 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 Humana before scheduling to confirm your plan's requirements.

We are not affiliated with Humana 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 Humana 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 Humana website: www.humana.com