Molina Healthcare MRI Rates in Jacksonville

Published Molina Healthcare negotiated rates for MRI at 13 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$182.21

Baptist Medical Center Beaches

all plan types

Highest Rate

$4,978.76

HCA Florida Orange Park Hospital

all plan types

Rate Spread

27x

across all plan types

Hospitals

13

with Molina Healthcare data

Molina Healthcare's negotiated MRI rates in Jacksonville span a 27x range, from $182.21 at Baptist Medical Center Beaches to $4,978.76 at HCA Florida Orange Park Hospital. Across 13 hospitals, the median rate is $448.87. The lowest figure is a Managed Medicaid rate, and low-end prices often reflect Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: Molina Healthcare 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.

Molina Healthcare MRI Rates by Hospital

Hospital Lowest Molina Healthcare Rate
Baptist Medical Center Beaches $182.21
Baptist Medical Center Clay $182.21
Baptist Medical Center Jacksonville $182.21
Baptist Medical Center Nassau $182.21
Baptist Medical Center South $182.21
Wolfson Children's Hospital $182.21
UF Health Jacksonville $183.74
Ascension St. Vincent's Clay County $448.87
Ascension St. Vincent's Riverside $448.87
Ascension St. Vincent's Southside $448.87
Ascension St. Vincent's St. Johns County $448.87
HCA Florida Memorial Hospital $3,653.10
HCA Florida Orange Park Hospital $4,745.48

Median of all 40 published Molina Healthcare rates for MRI at these hospitals: $448.87

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

Where Molina Healthcare MRI rates start in Jacksonville. The lowest published rate is $182.21, shown at Baptist Medical Center Beaches, Baptist Medical Center Clay and Baptist Medical Center Jacksonville, among others. At the top, HCA Florida Orange Park Hospital reaches $4,978.76, and HCA Florida Memorial Hospital shows a high of $3,843.18.

How far the Jacksonville MRI spread runs. The page shows a 27x spread across 13 hospitals, with a median of $448.87 across all 40 published rates. The plan types beside the lowest rates are labeled Managed Medicaid and MEDICAID HMO, so the low end likely reflects Medicaid plans rather than commercial plans. A rate in the table may not apply to your own plan.

What Molina Healthcare members can ask about a Jacksonville MRI. These are facility rates, and professional fees are billed separately. Questions worth raising:

  • Ask Molina Healthcare for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask whether that hospital is in network for your plan.
  • Ask the hospital for an estimate before your appointment.

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

Understanding Molina Healthcare Negotiated Rates

A negotiated rate is the price Molina Healthcare 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 Molina Healthcare 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

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

Frequently Asked Questions

Where is the lowest-cost Molina Healthcare MRI in Jacksonville?

The lowest Molina Healthcare negotiated rate for MRI in Jacksonville is $182.21 at Baptist Medical Center Beaches, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,978.76 at HCA Florida Orange Park Hospital, a 27x difference. Commercial plan rates typically fall between these extremes.

Is the Molina Healthcare negotiated rate what I'll pay?

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

How many Jacksonville hospitals have published Molina Healthcare rates?

13 hospitals in the Jacksonville area have published Molina Healthcare 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 Molina Healthcare directly.

Do I need a referral for an MRI with Molina Healthcare?

Most Molina Healthcare 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 Molina Healthcare before scheduling to confirm your plan's requirements.

We are not affiliated with Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare website: www.molinahealthcare.com