AmeriHealth Caritas ER Visit Rates in Sarasota-Bradenton
Published AmeriHealth Caritas negotiated rates for ER Visit at 4 hospitals in Sarasota-Bradenton, FL. Data from CMS-mandated hospital transparency files.
If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Do not delay emergency care based on cost.
Lowest Rate
$59.25
Sarasota Memorial Hospital
all plan types
Highest Rate
$5,707.72
HCA Florida Englewood Hospital
all plan types
Rate Spread
96x
across all plan types
Hospitals
4
with AmeriHealth Caritas data
AmeriHealth Caritas ER-visit rates in Sarasota-Bradenton span 96x, from $59.25 at Sarasota Memorial Hospital to $5,707.72 at HCA Florida Englewood Hospital. The lowest figure is a Medicaid HMO rate, and plan type shapes these numbers. Across four hospitals, the median negotiated rate is $2,113.74.
AmeriHealth Caritas ER Visit Rates by Hospital
| Hospital | Lowest AmeriHealth Caritas Rate |
|---|---|
| Sarasota Memorial Hospital | $59.25 |
| HCA Florida Sarasota Doctors Hospital | $1,613.46 |
| HCA Florida Blake Hospital | $1,676.98 |
| HCA Florida Englewood Hospital | $2,607.40 |
Median of all 30 published AmeriHealth Caritas rates for ER Visit at these hospitals: $2,113.74
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.
Reading AmeriHealth Caritas ER Visit Rates in Sarasota-Bradenton
Where AmeriHealth Caritas ER visit rates sit in Sarasota. Among the 4 hospitals with published rates, Sarasota Memorial Hospital shows the lowest at $59.25, followed by HCA Florida Sarasota Doctors Hospital at $1,613.46 and HCA Florida Blake Hospital at $1,676.98. At the high end, HCA Florida Englewood Hospital shows $5,707.72, and HCA Florida Sarasota Doctors Hospital tops out at $3,212.64.
How far apart the Sarasota ER visit figures run. The spread is 96x, and the median of all 30 published rates is $2,113.74. The lowest rate at Sarasota Memorial Hospital is listed under a Medicaid HMO plan, so the low end likely reflects Medicaid plans rather than commercial plans. Keep in mind that the plan behind a given rate is not always the one a member holds.
What to ask about an AmeriHealth Caritas ER visit in Sarasota. These are facility rates, and professional fees are billed separately. A member can ask:
- AmeriHealth Caritas for their own plan's negotiated rate and estimated cost share at a named hospital, such as Sarasota Memorial Hospital
- AmeriHealth Caritas whether that hospital is in network for their plan
- The hospital for an estimate
Written from the rates in the table above. General information, not medical or insurance advice.
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.
Compare Other Insurers for ER Visit in Sarasota-Bradenton
Frequently Asked Questions
Where is the lowest-cost AmeriHealth Caritas ER Visit in Sarasota-Bradenton?
The lowest AmeriHealth Caritas negotiated rate for ER Visit in Sarasota-Bradenton is $59.25 at Sarasota Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $5,707.72 at HCA Florida Englewood Hospital, a 96x 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 Sarasota-Bradenton hospitals have published AmeriHealth Caritas rates?
4 hospitals in the Sarasota-Bradenton 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.