Molina Healthcare MRI Rates in Tampa-St. Petersburg

Published Molina Healthcare negotiated rates for MRI at 20 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$160.78

BayCare Hospital Wesley Chapel

all plan types

Highest Rate

$5,433.56

HCA Florida St. Petersburg Hospital

all plan types

Rate Spread

34x

across all plan types

Hospitals

20

with Molina Healthcare data

Molina Healthcare's negotiated MRI rates in Tampa-St. Petersburg span a 34x gap, from $160.78 at BayCare Hospital Wesley Chapel to $5,433.56 at HCA Florida St. Petersburg Hospital. The median across 20 hospitals is $2,356.15. The lowest rate is tied to a Medicaid HMO plan, and Medicaid or Medicare rates often run well below commercial ones.

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
BayCare Hospital Wesley Chapel $160.78
Mease Countryside Hospital $160.78
Mease Dunedin Hospital $160.78
Morton Plant Hospital $160.78
Morton Plant North Bay Hospital $160.78
South Florida Baptist Hospital $160.78
St. Joseph's Hospital $160.78
Tampa General Hospital $373.75
HCA Florida Northside Hospital $1,522.45
HCA Florida Brandon Hospital $1,540.22
HCA Florida Bayonet Point Hospital $1,557.07
HCA Florida Trinity Hospital $1,655.72
HCA Florida South Tampa Hospital $1,925.56
HCA Florida West Tampa Hospital $1,925.56
HCA Florida Oak Hill Hospital $2,296.53
HCA Florida Largo Hospital $2,985
HCA Florida Largo West Hospital $2,985
HCA Florida South Shore Hospital $3,300.95
HCA Florida Pasadena Hospital $3,498.85
HCA Florida St. Petersburg Hospital $3,498.85

Median of all 112 published Molina Healthcare rates for MRI at these hospitals: $2,356.15

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 Tampa-St. Petersburg

Where Tampa MRI rates start for Molina Healthcare. The lowest published rate is $160.78, listed at BayCare Hospital Wesley Chapel, Mease Countryside Hospital and Mease Dunedin Hospital, among several others. At the other end, HCA Florida St. Petersburg Hospital and HCA Florida Pasadena Hospital each show a highest rate of $5,433.56, and HCA Florida South Shore Hospital shows $4,690.83.

How wide the Molina Healthcare MRI spread runs. Rates across the 20 hospitals spread 34x, and the median of all 112 published rates is $2,356.15. The plan type beside the $160.78 rates is Medicaid HMO, so the low end likely reflects those plans rather than commercial plans. Other hospitals list plan types such as Exchange and MGMCR beside their lowest rates.

What Molina Healthcare members can ask about a Tampa MRI. These are facility rates, and professional fees are billed separately.

  • 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.

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 Tampa-St. Petersburg

View all MRI prices in Tampa-St. Petersburg (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Molina Healthcare MRI in Tampa-St. Petersburg?

The lowest Molina Healthcare negotiated rate for MRI in Tampa-St. Petersburg is $160.78 at BayCare Hospital Wesley Chapel, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $5,433.56 at HCA Florida St. Petersburg Hospital, a 34x 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 Tampa-St. Petersburg hospitals have published Molina Healthcare rates?

20 hospitals in the Tampa-St. Petersburg 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