Humana MRI Rates in Orlando
Published Humana negotiated rates for MRI at 4 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$153.12
UF Health Leesburg Hospital
all plan types
Highest Rate
$261.63
AdventHealth Orlando
all plan types
Rate Spread
2x
across all plan types
Hospitals
4
with Humana data
Humana's negotiated MRI rates in Orlando range from $153.12 at UF Health Leesburg Hospital to $261.63 at AdventHealth Orlando, a spread of about 2x across four hospitals. The $153.12 rate applies to a managed Medicaid plan, and lower rates often reflect Medicaid or Medicare rather than commercial coverage. The median rate is $259.13.
Humana MRI Rates by Hospital
| Hospital | Lowest Humana Rate |
|---|---|
| UF Health Leesburg Hospital | $153.12 |
| UF Health The Villages Hospital | $153.12 |
| AdventHealth Waterman | $252.90 |
| AdventHealth Orlando | $261.63 |
Median of all 32 published Humana rates for MRI at these hospitals: $259.13
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 Orlando
Where Orlando MRI rates start for Humana. The lowest published rate is $153.12, listed at both UF Health Leesburg Hospital and UF Health The Villages Hospital. At the other end, AdventHealth Orlando shows $261.63 and AdventHealth Waterman shows $252.90. Across the 4 hospitals, these are the lowest rates each lists.
How far the Humana MRI spread runs in Orlando. The page shows a spread of 2x, and the median of all 32 published Humana rates for this procedure at these hospitals is $259.13. The plan types beside the lowest rates are managed Medicaid, so the low end likely reflects those plans rather than commercial plans. The two Adventist hospitals list Medicare managed care plans.
What Humana members can ask about an Orlando MRI. These are facility rates, and professional fees are billed separately. Questions to bring:
- Ask Humana for your own plan's negotiated rate and estimated cost share at a named hospital.
- Ask Humana whether that hospital is in network for your plan.
- Ask the hospital for an estimate.
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 Orlando
Frequently Asked Questions
Where is the lowest-cost Humana MRI in Orlando?
The lowest Humana negotiated rate for MRI in Orlando is $153.12 at UF Health Leesburg Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $261.63 at AdventHealth Orlando, 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 Orlando hospitals have published Humana rates?
4 hospitals in the Orlando 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