Sunshine Health MRI Rates in Melbourne-Palm Bay
Published Sunshine Health negotiated rates for MRI at 4 hospitals in Melbourne-Palm Bay, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$160.78
Cape Canaveral Hospital
all plan types
Highest Rate
$3,586.80
Viera Hospital
all plan types
Rate Spread
22x
across all plan types
Hospitals
4
with Sunshine Health data
MRI rates for Sunshine Health in the Melbourne-Palm Bay area span a 22x range, from $160.78 at Cape Canaveral Hospital to $3,586.80 at Viera Hospital. The median across the four hospitals is $1,638.07. The lowest figure reflects the Sunshine Health Plan Medicaid rate, and Medicaid or Medicare rates typically run well below commercial ones.
Sunshine Health MRI Rates by Hospital
| Hospital | Lowest Sunshine Health Rate |
|---|---|
| Cape Canaveral Hospital | $160.78 |
| Holmes Regional Medical Center | $160.78 |
| Palm Bay Hospital | $160.78 |
| Viera Hospital | $160.78 |
Median of all 16 published Sunshine Health rates for MRI at these hospitals: $1,638.07
Rates shown are Sunshine Health's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Sunshine Health 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 Sunshine Health Negotiated Rates
A negotiated rate is the price Sunshine Health 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 Sunshine Health 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 Melbourne-Palm Bay
Frequently Asked Questions
Where is the lowest-cost Sunshine Health MRI in Melbourne-Palm Bay?
The lowest Sunshine Health negotiated rate for MRI in Melbourne-Palm Bay is $160.78 at Cape Canaveral Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,586.80 at Viera Hospital, a 22x difference. Commercial plan rates typically fall between these extremes.
Is the Sunshine Health negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Sunshine Health 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 Sunshine Health for a pre-service cost estimate specific to your plan.
How many Melbourne-Palm Bay hospitals have published Sunshine Health rates?
4 hospitals in the Melbourne-Palm Bay area have published Sunshine Health 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 Sunshine Health directly.
Do I need a referral for an MRI with Sunshine Health?
Most Sunshine Health 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 Sunshine Health before scheduling to confirm your plan's requirements.
We are not affiliated with Sunshine Health 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 Sunshine Health or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.