Optimum HealthCare MRI Rates in Orlando
Published Optimum HealthCare negotiated rates for MRI at 4 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$419.76
HCA Florida Oviedo Medical Center
all plan types
Highest Rate
$1,177.83
HCA Florida Osceola Hospital
all plan types
Rate Spread
3x
across all plan types
Hospitals
4
with Optimum HealthCare data
MRI negotiated rates under Optimum HealthCare in Orlando range from $419.76 at HCA Florida Oviedo Medical Center to $1,177.83 at HCA Florida Osceola Hospital, a nearly 3x spread across four hospitals. The median rate is $1,129.52. Lower rates may reflect Medicaid or Medicare plan types rather than commercial contracts.
Optimum HealthCare MRI Rates by Hospital
| Hospital | Lowest Optimum HealthCare Rate |
|---|---|
| HCA Florida Oviedo Medical Center | $419.76 |
| HCA Florida Lake Monroe Hospital | $448.07 |
| HCA Florida Poinciana Hospital | $1,062.08 |
| HCA Florida Osceola Hospital | $1,124.38 |
Median of all 10 published Optimum HealthCare rates for MRI at these hospitals: $1,129.52
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 Orlando
Where Orlando MRI rates begin and climb. Across the 4 hospitals with Optimum HealthCare rates, the lowest starting figures are at HCA Florida Oviedo Medical Center at $419.76 and HCA Florida Lake Monroe Hospital at $448.07. At the upper end, HCA Florida Osceola Hospital starts at $1,124.38 and HCA Florida Poinciana Hospital at $1,062.08.
How wide the Optimum HealthCare MRI spread runs. The page shows a 3x spread, and the median of all 10 published rates is $1,129.52. The plan type listed beside the lowest rate at each hospital is MGMCR, which appears to point to a managed Medicare type of plan. The low end therefore likely reflects those plans rather than commercial ones, and the plan behind a rate is not always clear.
Questions to take to Optimum HealthCare about an Orlando MRI.
- Ask Optimum HealthCare for your own plan's negotiated rate and estimated cost share at a named hospital, such as HCA Florida Oviedo Medical Center.
- Ask whether that hospital is in network for your plan.
- Ask the hospital for an estimate.
These are facility rates, and professional fees 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 Orlando
Frequently Asked Questions
Where is the lowest-cost Optimum HealthCare MRI in Orlando?
The lowest Optimum HealthCare negotiated rate for MRI in Orlando is $419.76 at HCA Florida Oviedo Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,177.83 at HCA Florida Osceola 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 Orlando hospitals have published Optimum HealthCare rates?
4 hospitals in the Orlando 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.