Simply Healthcare MRI Rates in Lakeland-Winter Haven
Published Simply Healthcare negotiated rates for MRI at 4 hospitals in Lakeland-Winter Haven, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$160.78
Bartow Regional Medical Center
all plan types
Highest Rate
$264.12
AdventHealth Lake Wales
all plan types
Rate Spread
2x
across all plan types
Hospitals
4
with Simply Healthcare data
Simply Healthcare MRI rates in Lakeland-Winter Haven range from $160.78 at Bartow Regional Medical Center to $264.12 at AdventHealth Lake Wales, a roughly 2x spread across four hospitals. The median rate is $264.12. The lowest rate is tied to a Medicaid HMO plan, which often carries lower rates than commercial plans.
Simply Healthcare MRI Rates by Hospital
| Hospital | Lowest Simply Healthcare Rate |
|---|---|
| Bartow Regional Medical Center | $160.78 |
| Winter Haven Hospital | $160.78 |
| AdventHealth Heart of Florida | $264.12 |
| AdventHealth Lake Wales | $264.12 |
Median of all 12 published Simply Healthcare rates for MRI at these hospitals: $264.12
Rates shown are Simply Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Simply 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 Simply Healthcare MRI Rates in Lakeland-Winter Haven
Where Lakeland MRI rates start for Simply Healthcare. Among the 4 hospitals with published Simply Healthcare MRI rates, Bartow Regional Medical Center and Winter Haven Hospital each list $160.78 as their lowest rate. At the other end, AdventHealth Heart of Florida and AdventHealth Lake Wales list $264.12 as their lowest, and AdventHealth Lake Wales also shows $264.12 as the highest rate on the page. Bartow Regional Medical Center and Winter Haven Hospital each show a top rate of $801.54 across 4 plans.
How wide the Simply Healthcare MRI spread runs. The page shows a 2x spread, and the median of all 12 published rates is $264.12. The plan types beside the lowest rates are Medicaid HMO at Bartow Regional Medical Center and Winter Haven Hospital, and Medicare Managed Care plans at the two AdventHealth hospitals. The low end likely reflects those plans rather than commercial plans, so a listed rate may not match what your own plan pays.
What to ask about a Lakeland MRI with Simply Healthcare. These are facility rates, and professional fees are billed separately.
- Ask Simply Healthcare for your own plan's negotiated rate and estimated cost share at a named hospital, such as Winter Haven 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 Simply Healthcare Negotiated Rates
A negotiated rate is the price Simply 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 Simply 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 Lakeland-Winter Haven
Frequently Asked Questions
Where is the lowest-cost Simply Healthcare MRI in Lakeland-Winter Haven?
The lowest Simply Healthcare negotiated rate for MRI in Lakeland-Winter Haven is $160.78 at Bartow Regional Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $264.12 at AdventHealth Lake Wales, a 2x difference. Commercial plan rates typically fall between these extremes.
Is the Simply Healthcare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Simply 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 Simply Healthcare for a pre-service cost estimate specific to your plan.
How many Lakeland-Winter Haven hospitals have published Simply Healthcare rates?
4 hospitals in the Lakeland-Winter Haven area have published Simply 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 Simply Healthcare directly.
Do I need a referral for an MRI with Simply Healthcare?
Most Simply 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 Simply Healthcare before scheduling to confirm your plan's requirements.
We are not affiliated with Simply 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 Simply 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.