Sunshine Health MRI Rates in Tampa-St. Petersburg
Published Sunshine Health negotiated rates for MRI at 27 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$160.78
BayCare Hospital Wesley Chapel
all plan types
Highest Rate
$5,131.70
HCA Florida St. Petersburg Hospital
all plan types
Rate Spread
32x
across all plan types
Hospitals
27
with Sunshine Health data
Sunshine Health's negotiated MRI rates across 27 Tampa-St. Petersburg hospitals span a 32x range, from $160.78 at BayCare Hospital Wesley Chapel to $5,131.70 at HCA Florida St. Petersburg Hospital. The median rate is $553.15. The lowest figures often reflect Medicaid HMO or Medicare plan types rather than commercial contracts.
Sunshine Health MRI Rates by Hospital
Median of all 56 published Sunshine Health rates for MRI at these hospitals: $553.15
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 Tampa-St. Petersburg
Where Tampa MRI rates start and end with Sunshine Health. The lowest published rate is $160.78, and it appears at BayCare Hospital Wesley Chapel, Mease Countryside Hospital and Mease Dunedin Hospital, among others. At the top, HCA Florida St. Petersburg Hospital and HCA Florida Pasadena Hospital reach $5,131.70, while HCA Florida Largo Hospital lists $4,017.43.
How wide the Sunshine Health MRI spread runs around Tampa. Across the 27 hospitals, the spread is 32x, and the median of all 56 published rates is $553.15. The plan type listed beside the $160.78 rates is Medicaid HMO, so the low end likely reflects those plans rather than commercial plans. Higher figures are tied to QHP plans, so a rate does not always map to the plan you hold.
What to ask about a Tampa MRI. These are facility rates, and professional fees are billed separately. Before scheduling, you can:
- 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.
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 Tampa-St. Petersburg
Frequently Asked Questions
Where is the lowest-cost Sunshine Health MRI in Tampa-St. Petersburg?
The lowest Sunshine Health negotiated rate for MRI in Tampa-St. Petersburg is $160.78 at BayCare Hospital Wesley Chapel, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $5,131.70 at HCA Florida St. Petersburg Hospital, a 32x 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 Tampa-St. Petersburg hospitals have published Sunshine Health rates?
27 hospitals in the Tampa-St. Petersburg 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.