Sunshine Health MRI Rates in Orlando

Published Sunshine Health negotiated rates for MRI at 8 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.

Limited coverage: Orlando Health's Orlando-area hospitals, including Orlando Regional Medical Center, are not included: Orlando Health's website blocked downloads of its price files when we collected this data. Prices for the Orlando area come only from the AdventHealth, HCA Florida, UF Health and Nemours hospitals listed here, so they may not reflect the whole Orlando market.

Lowest Rate

$186.07

UF Health Leesburg Hospital

all plan types

Highest Rate

$4,171.48

HCA Florida Osceola Hospital

all plan types

Rate Spread

22x

across all plan types

Hospitals

8

with Sunshine Health data

Sunshine Health's negotiated MRI rates in Orlando span a 22x range, from $186.07 at UF Health Leesburg Hospital to $4,171.48 at HCA Florida Osceola Hospital. Across the 8 hospitals listed, the median rate is $1,536.79. The lowest figures are often tied to Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: Sunshine Health negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Sunshine Health MRI Rates by Hospital

Hospital Lowest Sunshine Health Rate
UF Health Leesburg Hospital $186.07
UF Health The Villages Hospital $186.07
AdventHealth Orlando $660.29
HCA Florida Oviedo Medical Center $1,486.65
HCA Florida Lake Monroe Hospital $1,586.93
UCF Lake Nona Hospital $3,751.81
HCA Florida Poinciana Hospital $3,761.53
HCA Florida Osceola Hospital $3,982.17

Median of all 22 published Sunshine Health rates for MRI at these hospitals: $1,536.79

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 Orlando

Where Orlando MRI rates start and end for Sunshine Health. The lowest published rate is $186.07, listed at both UF Health Leesburg Hospital and UF Health The Villages Hospital, followed by AdventHealth Orlando at $660.29. At the high end, HCA Florida Osceola Hospital shows $4,171.48 as its highest rate, and HCA Florida Oviedo Medical Center and HCA Florida Lake Monroe Hospital list higher top rates in the table.

How wide the Sunshine Health MRI spread runs in Orlando. The spread on this page is 22x, and the median of all 22 published rates is $1,536.79. The plan types beside the lowest rates are labeled ALL PRODUCTS and Ambetter Exchange, so the plan behind a low or high rate is not always clear. Several hospitals list QHP as the plan type of their lowest rate. A rate may reflect a different plan than the one you hold.

What to ask about an Orlando MRI. These are facility rates, and professional fees such as the radiologist's 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 Sunshine Health whether that hospital is in network for your plan.
  • Ask the hospital for an estimate before your appointment.

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 Orlando

View all MRI prices in Orlando (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Sunshine Health MRI in Orlando?

The lowest Sunshine Health negotiated rate for MRI in Orlando is $186.07 at UF Health Leesburg Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,171.48 at HCA Florida Osceola 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 Orlando hospitals have published Sunshine Health rates?

8 hospitals in the Orlando 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.