Molina Healthcare MRI Rates in Sarasota-Bradenton

Published Molina Healthcare negotiated rates for MRI at 5 hospitals in Sarasota-Bradenton, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$57.36

Sarasota Memorial Hospital

all plan types

Highest Rate

$3,261.77

HCA Florida Sarasota Doctors Hospital

all plan types

Rate Spread

57x

across all plan types

Hospitals

5

with Molina Healthcare data

Molina Healthcare's negotiated MRI rates in Sarasota-Bradenton span a 57x range, from $57.36 at Sarasota Memorial Hospital (Healthy Kids) to $3,261.77 at HCA Florida Sarasota Doctors Hospital. The median across five hospitals is $165.37. Lower rates 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
Sarasota Memorial Hospital $57.36
Sarasota Memorial Hospital - Venice $165.37
HCA Florida Blake Hospital $1,293.02
HCA Florida Englewood Hospital $1,456.47
HCA Florida Sarasota Doctors Hospital $1,936.68

Median of all 36 published Molina Healthcare rates for MRI at these hospitals: $165.37

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 Sarasota-Bradenton

Sarasota MRI rates for Molina Healthcare, low to high. The lowest published rates are at Sarasota Memorial Hospital ($57.36) and Sarasota Memorial Hospital - Venice ($165.37). At the other end, HCA Florida Sarasota Doctors Hospital lists $3,261.77. HCA Florida Englewood Hospital also lists a high of $3,701.13 on this page, and its lowest is $1,456.47.

How far Molina Healthcare MRI rates spread in Sarasota-Bradenton. Across 5 hospitals, the page shows a 57x spread between the lowest and highest rates, with a median of $165.37 among all 36 published rates. The plan types beside the lowest rates are labeled Healthy Kids, which looks like a children's program rather than a commercial plan, so the low end likely reflects those plans. The plan behind a given rate is not always stated, so a listed figure may not match your plan.

Questions for Molina Healthcare and the hospital before a Sarasota MRI. These are facility rates, and professional fees such as the radiologist's reading are billed separately. A member can ask:

  • Molina Healthcare: what is my plan's negotiated rate and estimated cost share at a named hospital?
  • Molina Healthcare: is that hospital in network for my plan?
  • The hospital: can I get a written estimate for this MRI?

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 Sarasota-Bradenton

View all MRI prices in Sarasota-Bradenton (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Molina Healthcare MRI in Sarasota-Bradenton?

The lowest Molina Healthcare negotiated rate for MRI in Sarasota-Bradenton is $57.36 at Sarasota Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,261.77 at HCA Florida Sarasota Doctors Hospital, a 57x 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 Sarasota-Bradenton hospitals have published Molina Healthcare rates?

5 hospitals in the Sarasota-Bradenton 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