Optimum HealthCare MRI Rates in Miami-Fort Lauderdale-West Palm Beach
Published Optimum HealthCare negotiated rates for MRI at 9 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$596.41
HCA Florida JFK Hospital
all plan types
Highest Rate
$1,553.96
HCA Florida Woodmont Hospital
all plan types
Rate Spread
3x
across all plan types
Hospitals
9
with Optimum HealthCare data
Optimum HealthCare's negotiated MRI rates across nine Miami-Fort Lauderdale-West Palm Beach hospitals swing roughly 3x, from $596.41 at HCA Florida JFK Hospital to $1,553.96 at HCA Florida Woodmont Hospital. The median sits at $904.16. Lower figures can reflect Medicaid or Medicare plan types rather than commercial coverage.
Optimum HealthCare MRI Rates by Hospital
| Hospital | Lowest Optimum HealthCare Rate |
|---|---|
| HCA Florida JFK Hospital | $596.41 |
| HCA Florida JFK North Hospital | $596.41 |
| HCA Florida Aventura Hospital | $625.99 |
| HCA Florida Mercy Hospital | $648.35 |
| HCA Florida Westside Hospital | $730.05 |
| HCA Florida Northwest Hospital | $968.70 |
| HCA Florida Palms West Hospital | $1,304.88 |
| HCA Florida Kendall Hospital | $1,330.08 |
| HCA Florida Woodmont Hospital | $1,553.96 |
Median of all 18 published Optimum HealthCare rates for MRI at these hospitals: $904.16
Rates shown are Optimum HealthCare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Optimum 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 Optimum HealthCare MRI Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami MRI rates start with Optimum HealthCare. The lowest published rate is $596.41, shown at both HCA Florida JFK Hospital and HCA Florida JFK North Hospital. HCA Florida Aventura Hospital follows at $625.99. At the other end, HCA Florida Woodmont Hospital lists $1,553.96, HCA Florida Kendall Hospital $1,330.08 and HCA Florida Palms West Hospital $1,304.88.
How far Optimum HealthCare MRI rates stretch across South Florida. Rates for this MRI run about 3x from the lowest to the highest, and the median of all 18 published rates is $904.16. Every lowest rate in the table carries the plan type code MGMCR, which looks like a Medicare Advantage plan. The low end likely reflects those plans rather than commercial plans, so the plan behind a given rate may not match your own.
What to ask about an Optimum HealthCare MRI near Miami. Ask Optimum HealthCare for your own plan's negotiated rate and estimated cost share at a named hospital, such as HCA Florida JFK Hospital. Ask whether that hospital is in network for your plan. Then ask the hospital for an estimate. 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 Optimum HealthCare Negotiated Rates
A negotiated rate is the price Optimum 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 Optimum 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 Miami-Fort Lauderdale-West Palm Beach
Frequently Asked Questions
Where is the lowest-cost Optimum HealthCare MRI in Miami-Fort Lauderdale-West Palm Beach?
The lowest Optimum HealthCare negotiated rate for MRI in Miami-Fort Lauderdale-West Palm Beach is $596.41 at HCA Florida JFK Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,553.96 at HCA Florida Woodmont Hospital, a 3x difference. Commercial plan rates typically fall between these extremes.
Is the Optimum HealthCare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Optimum 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 Optimum HealthCare for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published Optimum HealthCare rates?
9 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published Optimum 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 Optimum HealthCare directly.
Do I need a referral for an MRI with Optimum HealthCare?
Most Optimum 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 Optimum HealthCare before scheduling to confirm your plan's requirements.
We are not affiliated with Optimum 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 Optimum 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.