Optimum HealthCare MRI Rates in Sarasota-Bradenton
Published Optimum HealthCare negotiated rates for MRI at 3 hospitals in Sarasota-Bradenton, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$530.82
HCA Florida Blake Hospital
all plan types
Highest Rate
$795.06
HCA Florida Sarasota Doctors Hospital
all plan types
Rate Spread
1x
across all plan types
Hospitals
3
with Optimum HealthCare data
Optimum HealthCare's negotiated MRI rates in Sarasota-Bradenton range from $530.82 at HCA Florida Blake Hospital to $795.06 at HCA Florida Sarasota Doctors Hospital, a spread of about 1.5x across three hospitals. The median rate is $696.49. The lowest figure is listed under an MCRHMO plan, and rates under government-linked plans often differ from commercial ones.
Optimum HealthCare MRI Rates by Hospital
| Hospital | Lowest Optimum HealthCare Rate |
|---|---|
| HCA Florida Blake Hospital | $530.82 |
| HCA Florida Englewood Hospital | $597.92 |
| HCA Florida Sarasota Doctors Hospital | $795.06 |
Median of all 18 published Optimum HealthCare rates for MRI at these hospitals: $696.49
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.
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 Sarasota-Bradenton
Frequently Asked Questions
Where is the lowest-cost Optimum HealthCare MRI in Sarasota-Bradenton?
The lowest Optimum HealthCare negotiated rate for MRI in Sarasota-Bradenton is $530.82 at HCA Florida Blake Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $795.06 at HCA Florida Sarasota Doctors Hospital. 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 Sarasota-Bradenton hospitals have published Optimum HealthCare rates?
3 hospitals in the Sarasota-Bradenton 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.