AmeriHealth Caritas Lab Work Rates in Orlando

Published AmeriHealth Caritas negotiated rates for Lab Work 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

$17.85

HCA Florida Poinciana Hospital

all plan types

Highest Rate

$1,226.54

UCF Lake Nona Hospital

all plan types

Rate Spread

69x

across all plan types

Hospitals

5

with AmeriHealth Caritas data

AmeriHealth Caritas lab-work negotiated rates in Orlando span a 69x gap, from $17.85 at HCA Florida Poinciana Hospital (HIX) to $1,226.54 at UCF Lake Nona Hospital. The median across the five hospitals is $249. Lowest rates often 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 Lab Work Rates by Hospital

Hospital Lowest AmeriHealth Caritas Rate
HCA Florida Poinciana Hospital $17.85
HCA Florida Osceola Hospital $19.18
HCA Florida Oviedo Medical Center $208
HCA Florida Lake Monroe Hospital $249
UCF Lake Nona Hospital $1,226.54

Median of all 11 published AmeriHealth Caritas rates for Lab Work at these hospitals: $249

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 Lab Work Rates in Orlando

Where AmeriHealth Caritas lab work rates start and end in Orlando. Among the 5 Orlando hospitals with published rates, the lowest are $17.85 at HCA Florida Poinciana Hospital and $19.18 at HCA Florida Osceola Hospital, followed by $208 at HCA Florida Oviedo Medical Center. At the other end, UCF Lake Nona Hospital lists $1,226.54, and HCA Florida Lake Monroe Hospital lists $249.

How far the Orlando lab work spread runs. The page shows a 69x spread between the lowest and highest rates, and the median of all 11 published rates is $249. The plan type beside each hospital's lowest rate is listed as HIX, which is not specified further, so the plan behind a rate is not always stated. A low figure may not apply to every member's plan.

Questions for AmeriHealth Caritas and Orlando hospitals about lab work. 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 HCA Florida Poinciana Hospital.
  • Whether that hospital is in network for their plan.
  • The hospital for an estimate of the charges.

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 Lab Work in Orlando

View all Lab Work prices in Orlando (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost AmeriHealth Caritas Lab Work in Orlando?

The lowest AmeriHealth Caritas negotiated rate for Lab Work in Orlando is $17.85 at HCA Florida Poinciana Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,226.54 at UCF Lake Nona Hospital, a 69x 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 Lab Work in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with AmeriHealth Caritas directly.

Can I get lab work done at a cheaper location with AmeriHealth Caritas?

Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your AmeriHealth Caritas plan covers independent labs like Quest or Labcorp, you may pay significantly less out of pocket. The rates on this page reflect hospital-based pricing only.

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.