CarePlus Health Plans Ultrasound Rates in Tampa-St. Petersburg

Published CarePlus Health Plans negotiated rates for Ultrasound at 8 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$17.59

South Florida Baptist Hospital

all plan types

Highest Rate

$463.86

Morton Plant North Bay Hospital

all plan types

Rate Spread

26x

across all plan types

Hospitals

with CarePlus Health Plans data

CarePlus Health Plans negotiated rates for ultrasounds in the Tampa-St. Petersburg area span 26x, from $17.59 at South Florida Baptist Hospital to $463.86 at Morton Plant North Bay Hospital. The median across 8 hospitals is $335.90. The lowest rate is listed under a Medicare HMO plan, and rates under Medicaid or Medicare plans often run lower than commercial ones.

Why the range is so wide: CarePlus Health Plans 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.

CarePlus Health Plans Ultrasound Rates by Hospital

Hospital	Lowest CarePlus Health Plans Rate	Plan Type	Highest Rate	Plans
South Florida Baptist Hospital	$17.59	Medicare HMO	$463.86	3
St. Joseph's Hospital	$17.59	Medicare HMO	$463.86	5
Tampa General Hospital	$110.92	Medicare Managed Care Plan	$110.92	2
BayCare Hospital Wesley Chapel	$335.90	Medicare HMO	$463.86	2
Mease Countryside Hospital	$335.90	Medicare HMO	$463.86	2
Mease Dunedin Hospital	$335.90	Medicare HMO	$463.86	2
Morton Plant Hospital	$335.90	Medicare HMO	$463.86	2
Morton Plant North Bay Hospital	$335.90	Medicare HMO	$463.86	2

Median of all 20 published CarePlus Health Plans rates for Ultrasound at these hospitals: $335.90

Rates shown are CarePlus Health Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all CarePlus Health Plans 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 CarePlus Health Plans Ultrasound Rates in Tampa-St. Petersburg

Where Tampa ultrasound rates start for CarePlus Health Plans. The lowest published rate in the table is $17.59, listed at both South Florida Baptist Hospital and St. Joseph's Hospital. Tampa General Hospital follows at $110.92. At the other end, Morton Plant North Bay Hospital shows $463.86, and several other hospitals in the table list the same top figure.

How wide the CarePlus ultrasound spread runs. Published rates across these hospitals spread 26x, and the median of all 20 published rates is $335.90. The plan types beside the lowest rates are Medicare HMO and Medicare Managed Care Plan, so the low end likely reflects those Medicare Advantage plans rather than commercial plans.

What to ask before a Tampa ultrasound. These are facility rates, and professional fees are billed separately. Questions a member can raise:

Ask CarePlus Health Plans for your own plan's negotiated rate and estimated cost share at a named hospital, such as Tampa General Hospital.
Ask CarePlus whether that hospital is in network for your plan.
Ask the hospital for an estimate before the visit.

Written from the rates in the table above. General information, not medical or insurance advice.

Understanding CarePlus Health Plans Negotiated Rates

A negotiated rate is the price CarePlus Health Plans 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 CarePlus Health Plans 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 Ultrasound in Tampa-St. Petersburg

Aetna $35.65 - $3,765.52 28 hospitals Simply Healthcare $13.86 - $1,932.97 27 hospitals Sunshine Health $110.54 - $3,200.69 27 hospitals Freedom Health $15.40 - $903.72 26 hospitals UnitedHealthcare $40.96 - $5,648.28 24 hospitals Cigna $40.58 - $10,041.38 20 hospitals

View all Ultrasound prices in Tampa-St. Petersburg (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost CarePlus Health Plans Ultrasound in Tampa-St. Petersburg?

The lowest CarePlus Health Plans negotiated rate for Ultrasound in Tampa-St. Petersburg is $17.59 at South Florida Baptist Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $463.86 at Morton Plant North Bay Hospital, a 26x difference. Commercial plan rates typically fall between these extremes.

Is the CarePlus Health Plans negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what CarePlus Health Plans 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 CarePlus Health Plans for a pre-service cost estimate specific to your plan.

How many Tampa-St. Petersburg hospitals have published CarePlus Health Plans rates?

8 hospitals in the Tampa-St. Petersburg area have published CarePlus Health Plans negotiated rates for Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with CarePlus Health Plans directly.

Are prenatal ultrasounds covered differently by CarePlus Health Plans?

CarePlus Health Plans plans often apply different cost-sharing rules for prenatal ultrasounds compared to diagnostic ultrasounds. Some may be covered under maternity benefits with different deductible and copay structures. Check your CarePlus Health Plans plan documents for specifics on ultrasound coverage.

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