WellCare MRI Rates in Miami-Fort Lauderdale-West Palm Beach
Published WellCare negotiated rates for MRI at 18 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$70.53
Cleveland Clinic Weston Hospital
all plan types
Highest Rate
$4,516.56
Mount Sinai Medical Center
all plan types
Rate Spread
64x
across all plan types
Hospitals
18
with WellCare data
WellCare MRI rates across 18 Miami-Fort Lauderdale-West Palm Beach hospitals span a 64x gap, from $70.53 at Cleveland Clinic Weston Hospital to $4,516.56 at Mount Sinai Medical Center. The median negotiated rate is $165.70. The lowest figures often reflect Medicare Advantage or Medicaid plans rather than commercial coverage.
WellCare MRI Rates by Hospital
| Hospital | Lowest WellCare Rate |
|---|---|
| Cleveland Clinic Weston Hospital | $70.53 |
| Bethesda Hospital East | $75.98 |
| Doctors Hospital | $77.34 |
| Homestead Hospital | $77.34 |
| South Miami Hospital | $77.34 |
| West Kendall Baptist Hospital | $77.34 |
| Baptist Hospital of Miami | $79.78 |
| Jackson Memorial Hospital | $150.64 |
| Jackson North Medical Center | $150.64 |
| Jackson South Medical Center | $150.64 |
| Jackson West Medical Center | $150.64 |
| Lakeside Medical Center | $254.77 |
| Holy Cross Hospital | $256.39 |
| Memorial Hospital Miramar | $264.12 |
| Memorial Hospital Pembroke | $264.12 |
| Memorial Hospital West | $264.12 |
| Memorial Regional Hospital | $264.12 |
| Mount Sinai Medical Center | $3,558.75 |
Median of all 182 published WellCare rates for MRI at these hospitals: $165.70
Rates shown are WellCare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all WellCare 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 WellCare MRI Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami WellCare MRI rates start and top out. The lowest published MRI rate here is $70.53 at Cleveland Clinic Weston Hospital, followed by $75.98 at Bethesda Hospital East and $77.34 at Doctors Hospital. At the other end, Mount Sinai Medical Center lists $4,516.56 as its highest rate, and Holy Cross Hospital lists $5,131 as its highest.
The 64x WellCare MRI spread and the plan behind it. Across 18 hospitals, the spread between the lowest and highest rates is 64x, and the median of all 182 published rates is $165.70. The plan types beside the lowest rates include Medicare Advantage and Medicaid-style labels, so the low end likely reflects those plans rather than commercial plans. A rate you see in the table may not belong to your plan.
Questions to bring about a Miami MRI. These are facility rates, and professional fees such as the radiologist's reading are billed separately. A member can ask:
- WellCare: what is my own plan's negotiated rate and estimated cost share for an MRI at a named hospital, such as Baptist Hospital of Miami?
- WellCare: is that hospital in network for my plan?
- The hospital: can I get a written estimate for my MRI?
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding WellCare Negotiated Rates
A negotiated rate is the price WellCare 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 WellCare 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 WellCare MRI in Miami-Fort Lauderdale-West Palm Beach?
The lowest WellCare negotiated rate for MRI in Miami-Fort Lauderdale-West Palm Beach is $70.53 at Cleveland Clinic Weston Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,516.56 at Mount Sinai Medical Center, a 64x difference. Commercial plan rates typically fall between these extremes.
Is the WellCare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what WellCare 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 WellCare for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published WellCare rates?
18 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published WellCare 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 WellCare directly.
Do I need a referral for an MRI with WellCare?
Most WellCare 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 WellCare before scheduling to confirm your plan's requirements.
We are not affiliated with WellCare 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 WellCare or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.
Visit the official WellCare website: www.wellcare.com