AmeriHealth Caritas ER Visit Rates in Orlando

Published AmeriHealth Caritas negotiated rates for ER Visit at 5 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.

Limited coverage: Orlando Health's Orlando-area hospitals, including Orlando Regional Medical Center, are not included: Orlando Health's website blocked downloads of its price files when we collected this data. Prices for the Orlando area come only from the AdventHealth, HCA Florida, UF Health and Nemours hospitals listed here, so they may not reflect the whole Orlando market.

Lowest Rate

$2,391.88

HCA Florida Lake Monroe Hospital

all plan types

Highest Rate

$7,768.30

UCF Lake Nona Hospital

all plan types

Rate Spread

3x

across all plan types

Hospitals

5

with AmeriHealth Caritas data

AmeriHealth Caritas negotiated rates for ER visits in Orlando span roughly 3x, from $2,391.88 at HCA Florida Lake Monroe Hospital to $7,768.30 at UCF Lake Nona Hospital. The median across five hospitals is $4,318.30. Lower rates in this data may reflect Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: AmeriHealth Caritas negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

AmeriHealth Caritas ER Visit Rates by Hospital

Hospital Lowest AmeriHealth Caritas Rate
HCA Florida Lake Monroe Hospital $2,391.88
HCA Florida Oviedo Medical Center $2,669.50
HCA Florida Osceola Hospital $2,692.80
HCA Florida Poinciana Hospital $3,014
UCF Lake Nona Hospital $3,119.50

Median of all 69 published AmeriHealth Caritas rates for ER Visit at these hospitals: $4,318.30

Rates shown are AmeriHealth Caritas's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all AmeriHealth Caritas 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.

Understanding AmeriHealth Caritas Negotiated Rates

A negotiated rate is the price AmeriHealth Caritas 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 AmeriHealth Caritas plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

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Frequently Asked Questions

Where is the lowest-cost AmeriHealth Caritas ER Visit in Orlando?

The lowest AmeriHealth Caritas negotiated rate for ER Visit in Orlando is $2,391.88 at HCA Florida Lake Monroe Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $7,768.30 at UCF Lake Nona Hospital, a 3x difference. Commercial plan rates typically fall between these extremes.

Is the AmeriHealth Caritas negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what AmeriHealth Caritas 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 AmeriHealth Caritas for a pre-service cost estimate specific to your plan.

How many Orlando hospitals have published AmeriHealth Caritas rates?

5 hospitals in the Orlando area have published AmeriHealth Caritas negotiated rates for ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with AmeriHealth Caritas directly.

Will AmeriHealth Caritas cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. AmeriHealth Caritas cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.

We are not affiliated with AmeriHealth Caritas 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 AmeriHealth Caritas or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.