Simply Healthcare MRI Rates in Pensacola
Published Simply Healthcare negotiated rates for MRI at 4 hospitals in Pensacola, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$162.31
Santa Rosa Medical Center
all plan types
Highest Rate
$1,071.32
HCA Florida West Hospital
all plan types
Rate Spread
7x
across all plan types
Hospitals
4
with Simply Healthcare data
MRI rates under Simply Healthcare in Pensacola range from $162.31 at Santa Rosa Medical Center to $1,071.32 at HCA Florida West Hospital, a roughly 7x spread across four hospitals. The median negotiated rate is $176.94. The lowest figure reflects a Simply Medicaid FL plan, and Medicaid rates typically run lower than commercial ones.
Simply Healthcare MRI Rates by Hospital
| Hospital | Lowest Simply Healthcare Rate |
|---|---|
| Santa Rosa Medical Center | $162.31 |
| Baptist Hospital (Pensacola) | $176.94 |
| Gulf Breeze Hospital | $176.94 |
| HCA Florida West Hospital | $1,071.32 |
Median of all 18 published Simply Healthcare rates for MRI at these hospitals: $176.94
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 Pensacola
Where Pensacola MRI rates start with Simply Healthcare. Santa Rosa Medical Center shows the lowest published rate at $162.31. Baptist Hospital (Pensacola) and Gulf Breeze Hospital both show $176.94. At the other end, HCA Florida West Hospital shows $1,071.32, the highest on the page. Four hospitals have Simply Healthcare rates listed.
How far the Simply Healthcare MRI spread runs. The page shows a 7x spread between the lowest and highest rates, with a median of $176.94 across all 18 published rates. The lowest rate at Santa Rosa Medical Center is tied to Simply Medicaid FL, so the low end likely reflects Medicaid-type plans rather than commercial plans. The highest rate is labeled MGMCR, which may point to a Medicare Advantage plan, so the plan behind a figure matters when you compare hospitals.
Questions for a Pensacola MRI with Simply Healthcare. These figures are facility rates, and professional fees such as a radiologist's reading are billed separately. Before scheduling, a member can:
- Ask Simply Healthcare for their own plan's negotiated rate and estimated cost share at a named hospital.
- Confirm whether that hospital is in network for their plan.
- Ask the hospital for an estimate for the MRI.
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 Pensacola
Frequently Asked Questions
Where is the lowest-cost Simply Healthcare MRI in Pensacola?
The lowest Simply Healthcare negotiated rate for MRI in Pensacola is $162.31 at Santa Rosa Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,071.32 at HCA Florida West Hospital, a 7x 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 Pensacola hospitals have published Simply Healthcare rates?
4 hospitals in the Pensacola 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.