Optimum HealthCare MRI Rates in Tampa-St. Petersburg
Published Optimum HealthCare negotiated rates for MRI at 19 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$625.01
HCA Florida Northside Hospital
all plan types
Highest Rate
$1,569.70
HCA Florida St. Petersburg Hospital
all plan types
Rate Spread
3x
across all plan types
Hospitals
19
with Optimum HealthCare data
MRI rates for Optimum HealthCare in Tampa-St. Petersburg span roughly 3x, from $625.01 at HCA Florida Northside Hospital to $1,569.70 at HCA Florida St. Petersburg Hospital. Across 19 hospitals, the median negotiated rate is $863.80. The lowest rates, such as the Northside figure, are listed under a Medicare HMO plan rather than a commercial one.
Optimum HealthCare MRI Rates by Hospital
| Hospital | Lowest Optimum HealthCare Rate |
|---|---|
| HCA Florida Northside Hospital | $625.01 |
| HCA Florida Brandon Hospital | $632.30 |
| HCA Florida Bayonet Point Hospital | $639.22 |
| HCA Florida Trinity Hospital | $679.72 |
| HCA Florida South Tampa Hospital | $790.49 |
| HCA Florida West Tampa Hospital | $790.49 |
| BayCare Hospital Wesley Chapel | $837 |
| Mease Countryside Hospital | $837 |
| Mease Dunedin Hospital | $837 |
| Morton Plant Hospital | $837 |
| Morton Plant North Bay Hospital | $837 |
| South Florida Baptist Hospital | $837 |
| St. Joseph's Hospital | $837 |
| HCA Florida Oak Hill Hospital | $942.79 |
| HCA Florida Largo Hospital | $1,225.42 |
| HCA Florida Largo West Hospital | $1,225.42 |
| HCA Florida South Shore Hospital | $1,355.13 |
| HCA Florida Pasadena Hospital | $1,436.37 |
| HCA Florida St. Petersburg Hospital | $1,436.37 |
Median of all 88 published Optimum HealthCare rates for MRI at these hospitals: $863.80
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 Tampa-St. Petersburg
Where Tampa MRI rates begin and top out. The lowest published Optimum HealthCare rates are $625.01 at HCA Florida Northside Hospital, $632.30 at HCA Florida Brandon Hospital and $639.22 at HCA Florida Bayonet Point Hospital. The highest are $1,569.70 at HCA Florida St. Petersburg Hospital, $1,569.70 at HCA Florida Pasadena Hospital and $1,355.13 at HCA Florida South Shore Hospital.
How far Optimum HealthCare MRI prices stretch around Tampa. Across 19 hospitals, the spread is 3x, and the median of all 88 published rates is $863.80. The plan types beside the lowest rates read as Medicare Advantage (MCRHMO and Medicare HMO), so the low end likely reflects those plans rather than commercial plans.
What to ask about a Tampa MRI with Optimum HealthCare. These are facility rates, and professional fees are billed separately. A member can:
- Ask Optimum HealthCare for their own plan's negotiated rate and estimated cost share at a named hospital.
- Ask whether that hospital is in network for their plan.
- Ask the hospital for an estimate.
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 Tampa-St. Petersburg
Frequently Asked Questions
Where is the lowest-cost Optimum HealthCare MRI in Tampa-St. Petersburg?
The lowest Optimum HealthCare negotiated rate for MRI in Tampa-St. Petersburg is $625.01 at HCA Florida Northside Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,569.70 at HCA Florida St. Petersburg 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 Tampa-St. Petersburg hospitals have published Optimum HealthCare rates?
19 hospitals in the Tampa-St. Petersburg 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.