WellCare MRI Rates in Pensacola
Published WellCare negotiated rates for MRI at 4 hospitals in Pensacola, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$160.78
Santa Rosa Medical Center
all plan types
Highest Rate
$254.77
Baptist Hospital (Pensacola)
all plan types
Rate Spread
2x
across all plan types
Hospitals
4
with WellCare data
WellCare MRI rates in Pensacola range from $160.78 at Santa Rosa Medical Center to $254.77 at Baptist Hospital, a spread of roughly 1.6x across four hospitals. The median negotiated rate is $242.63. The lowest figure is a Medicaid rate, and Medicaid and Medicare rates often run below commercial plan rates.
WellCare MRI Rates by Hospital
| Hospital | Lowest WellCare Rate |
|---|---|
| Santa Rosa Medical Center | $160.78 |
| Gulf Breeze Hospital | $161.55 |
| Ascension Sacred Heart Pensacola | $242.63 |
| Baptist Hospital (Pensacola) | $254.77 |
Median of all 21 published WellCare rates for MRI at these hospitals: $242.63
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 Pensacola
Where Pensacola WellCare MRI rates start and end. Among the 4 hospitals with published WellCare rates, the lowest figures are $160.78 at Santa Rosa Medical Center and $161.55 at Gulf Breeze Hospital. At the high end, Baptist Hospital (Pensacola) shows $254.77, and Ascension Sacred Heart Pensacola shows $242.63.
How wide the WellCare MRI spread is. The spread on this page is 2x, and the median of all 21 published WellCare rates for this procedure at these hospitals is $242.63. The plan types beside the lowest rates look like Medicaid and Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans.
What to ask about a Pensacola MRI. These are facility rates, and professional fees are billed separately. Questions to bring:
- Ask WellCare for your own plan's negotiated rate and estimated cost share at a named hospital, such as Gulf Breeze Hospital.
- Ask WellCare whether that hospital is in network for your plan.
- Ask the hospital for an estimate before scheduling.
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 Pensacola
Frequently Asked Questions
Where is the lowest-cost WellCare MRI in Pensacola?
The lowest WellCare negotiated rate for MRI in Pensacola is $160.78 at Santa Rosa Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $254.77 at Baptist Hospital (Pensacola), a 2x 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 Pensacola hospitals have published WellCare rates?
4 hospitals in the Pensacola 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