Sunshine Health MRI Rates in Pensacola
Published Sunshine Health negotiated rates for MRI at 4 hospitals in Pensacola, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$161.55
Baptist Hospital (Pensacola)
all plan types
Highest Rate
$1,773.93
HCA Florida West Hospital
all plan types
Rate Spread
11x
across all plan types
Hospitals
4
with Sunshine Health data
Sunshine Health's negotiated MRI rates in Pensacola span an 11x range, from $161.55 at Baptist Hospital (Pensacola) to $1,773.93 at HCA Florida West Hospital. The lowest rate falls under a Medicaid HMO plan, and rates for these plan types often run below commercial ones. Across the four hospitals listed, the median rate is $161.55.
Sunshine Health MRI Rates by Hospital
| Hospital | Lowest Sunshine Health Rate |
|---|---|
| Baptist Hospital (Pensacola) | $161.55 |
| Gulf Breeze Hospital | $161.55 |
| Santa Rosa Medical Center | $168.43 |
| HCA Florida West Hospital | $1,773.93 |
Median of all 22 published Sunshine Health rates for MRI at these hospitals: $161.55
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 Pensacola
Where Pensacola MRI rates sit for Sunshine Health. The lowest published rates are $161.55 at both Baptist Hospital (Pensacola) and Gulf Breeze Hospital, with Santa Rosa Medical Center next at $168.43. At the high end, HCA Florida West Hospital lists $1,773.93, and Santa Rosa Medical Center's own highest rate is $595.52.
How wide the Sunshine Health MRI spread runs here. The page shows an 11x spread, while the median of all 22 published rates is $161.55. The plan types beside the lowest rates, CAID HMO and SUNSHINE HEALTH MEDICAID FL, look like Medicaid plans, so the low end likely reflects those plans rather than commercial plans. The highest rate is listed under a QHP plan type.
What to ask about a Pensacola MRI. These are facility rates, and professional fees such as the radiologist's reading are billed separately. A member can ask:
- Sunshine Health for their own plan's negotiated rate and estimated cost share at a named hospital
- Sunshine Health whether that hospital is in network for their plan
- The hospital for an estimate before scheduling
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 Pensacola
Frequently Asked Questions
Where is the lowest-cost Sunshine Health MRI in Pensacola?
The lowest Sunshine Health negotiated rate for MRI in Pensacola is $161.55 at Baptist Hospital (Pensacola), across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,773.93 at HCA Florida West Hospital, an 11x 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 Pensacola hospitals have published Sunshine Health rates?
4 hospitals in the Pensacola 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.