MRI Cost in Ocala, FL

How much does a mri cost without insurance in Ocala?

Without insurance, the cash prices listed are: lumbar spine MRI (72148) at $2,482.59 at AdventHealth Ocala and $10,551.54 at both HCA Ocala and HCA West Marion; brain MRI (70551) at $2,778.73 at AdventHealth Ocala, $19,609.46 at HCA Ocala, and $21,178.19 at HCA West Marion. Overall, cash prices range from $2,482.59 to $21,178.19. The brain scan costs more than the lumbar scan at every hospital, by $296.14 at AdventHealth Ocala and by more than $9,000 at each HCA hospital. These are facility fees only. Physician and professional fees are billed separately.

Why is the gross charge so much higher than the cash price?

The gross charge, or chargemaster price, is a hospital's full list price before any negotiated discount. Almost no one pays it. In Ocala, the cash price is 100% of the gross charge for every code at every hospital, so these hospitals list no self-pay discount in their files. The practical difference comes from the starting point: AdventHealth Ocala lists gross charges of $2,482.59 and $2,778.73, while HCA lists $10,551.54 to $21,178.19. Insurers negotiate far below these figures, with insured rates as low as $249.17.

Does insurance cover a mri?

Coverage depends on the specific plan and whether the plan considers the scan medically necessary. Many plans require prior authorization for non-emergency MRI scans. Negotiated rates vary widely: for the brain MRI, the 151 payer rates run from $249.17 to $19,060.37, and for the lumbar MRI, the 123 payer rates run from $249.17 to $9,496.39. Patients on high-deductible plans who have not yet met their deductible owe the negotiated rate for their plan, not the gross charge. The plan's contracted rate at the specific hospital determines that amount.

Are there additional fees beyond the mri facility charge?

Yes. The prices above are facility fees, which cover the scanner, room, and technical staff. A radiologist's reading fee, which covers interpreting the images and writing the report, is a professional fee billed separately, often by a different billing entity than the hospital. Other professional services may also be billed separately. If an MRI is performed through the emergency department, a separate emergency room facility fee applies in addition to the imaging charges. The hospital price transparency files used here do not include dollar amounts for these separate fees.

What is the cash price for an MRI brain at HCA Florida West Marion Hospital?

HCA Florida West Marion Hospital lists a cash price of $21,178.19 for MRI Brain Without Contrast (70551). That equals its gross charge, so no self-pay discount is published. The figure is a facility charge only and does not include other bills tied to the visit. It is the highest cash price on this page.

What is the lowest MRI price published in Ocala?

The lowest price on this page is $2,482.59 at AdventHealth Ocala for MRI Lumbar Spine Without Contrast (72148). It is both the gross charge and the cash price. This is a facility charge only, and no row on the page has a missing or $0 price.

How much does Aetna pay for an MRI in Ocala?

Across the 3 Ocala hospitals on this page, Aetna's published rates run from $266.61 at AdventHealth Ocala to $6,353.46 at HCA Florida West Marion Hospital, with a median of $1,816. The highest is about 24x the lowest. These are facility rates only.

What is the difference between CPT 70551 and 72148 at Ocala hospitals?

Code 70551 is MRI Brain Without Contrast and 72148 is MRI Lumbar Spine Without Contrast. At HCA Florida Ocala Hospital, 70551 has a cash price of $19,609.46 and 72148 has $10,551.54. At AdventHealth Ocala, 70551 is $2,778.73 and 72148 is $2,482.59. All are facility charges only.

How do UnitedHealthcare MRI rates compare across Ocala hospitals?

UnitedHealthcare's published rates on this page run from $394.93 at AdventHealth Ocala to $9,530.19 at HCA Florida West Marion Hospital, with a median of $517.79. The highest is about 24x the lowest. These figures are facility rates only, and all 3 hospitals have data.