Sunshine Health MRI Rates in Miami-Fort Lauderdale-West Palm Beach
Published Sunshine Health negotiated rates for MRI at 28 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$75.98
Bethesda Hospital East
all plan types
Highest Rate
$4,770.28
HCA Florida Woodmont Hospital
all plan types
Rate Spread
63x
across all plan types
Hospitals
28
with Sunshine Health data
Sunshine Health MRI rates across 28 Miami-Fort Lauderdale-West Palm Beach hospitals span a 63x gap, from $75.98 at Bethesda Hospital East to $4,770.28 at HCA Florida Woodmont Hospital. The median negotiated rate is $251.97. The lowest rates often reflect Medicaid or Medicare plan types rather than commercial coverage.
Sunshine Health MRI Rates by Hospital
Median of all 194 published Sunshine Health rates for MRI at these hospitals: $336.38
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.
Reading Sunshine Health MRI Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami MRI rates start and end for Sunshine Health. The lowest published rate is $75.98 at Bethesda Hospital East, followed by $78.08 at Doctors Hospital and Homestead Hospital. At the other end, HCA Florida Woodmont Hospital shows $4,770.28, with Holy Cross Hospital at $4,741 and HCA Florida Kendall Hospital at $4,021.16.
How wide the Sunshine Health MRI spread runs. Across 28 hospitals the spread is 63x, and the median of all 194 published rates is $251.97. The plan types beside the lowest rates read as Medicaid managed care plans, so the low end likely reflects those plans rather than commercial plans. The highest rates at several hospitals are tied to QHP listings, so the plan behind a figure matters when you compare.
What to ask about a Miami MRI with Sunshine Health. These are facility rates, and professional fees such as the radiologist's reading are billed separately. Questions to bring:
- Ask Sunshine Health for your own plan's negotiated rate and estimated cost share at a named hospital.
- Ask whether that hospital is in network for your plan.
- Ask the hospital for an estimate before the scan is scheduled.
Written from the rates in the table above. General information, not medical or insurance advice.
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 Miami-Fort Lauderdale-West Palm Beach
Frequently Asked Questions
Where is the lowest-cost Sunshine Health MRI in Miami-Fort Lauderdale-West Palm Beach?
The lowest Sunshine Health negotiated rate for MRI in Miami-Fort Lauderdale-West Palm Beach is $75.98 at Bethesda Hospital East, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,770.28 at HCA Florida Woodmont Hospital, a 63x 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 Miami-Fort Lauderdale-West Palm Beach hospitals have published Sunshine Health rates?
28 hospitals in the Miami-Fort Lauderdale-West Palm Beach 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.