Florida Blue Echocardiogram Rates in Lakeland-Winter Haven

Published Florida Blue negotiated rates for Echocardiogram at 5 hospitals in Lakeland-Winter Haven, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$550.37

Bartow Regional Medical Center

all plan types

Highest Rate

$3,719

Lakeland Regional Health Medical Center

all plan types

Rate Spread

7x

across all plan types

Hospitals

5

with Florida Blue data

Florida Blue's negotiated rates for an echocardiogram in Lakeland-Winter Haven range from $550.37 at Bartow Regional Medical Center to $3,719 at Lakeland Regional Health Medical Center, a roughly 7x spread across five hospitals. The median rate is $2,370. The lowest figure reflects a Medicare HMO plan, and Medicaid or Medicare rates are often lower than commercial ones.

Why the range is so wide: Florida Blue 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.

Florida Blue Echocardiogram Rates by Hospital

Hospital Lowest Florida Blue Rate
Bartow Regional Medical Center $550.37
Winter Haven Hospital $550.37
AdventHealth Heart of Florida $587.73
AdventHealth Lake Wales $587.73
Lakeland Regional Health Medical Center $2,370

Median of all 47 published Florida Blue rates for Echocardiogram at these hospitals: $2,370

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

A negotiated rate is the price Florida Blue 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 Florida Blue 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 Echocardiogram in Lakeland-Winter Haven

View all Echocardiogram prices in Lakeland-Winter Haven (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Florida Blue Echocardiogram in Lakeland-Winter Haven?

The lowest Florida Blue negotiated rate for Echocardiogram in Lakeland-Winter Haven is $550.37 at Bartow Regional Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,719 at Lakeland Regional Health Medical Center, a 7x difference. Commercial plan rates typically fall between these extremes.

Is the Florida Blue negotiated rate what I'll pay?

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

How many Lakeland-Winter Haven hospitals have published Florida Blue rates?

5 hospitals in the Lakeland-Winter Haven area have published Florida Blue negotiated rates for Echocardiogram in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Florida Blue directly.

Does Florida Blue require prior authorization for an echocardiogram?

Many Florida Blue plans require prior authorization for echocardiograms. Without it, the claim may be denied. Your referring provider's office typically handles the authorization request. The rates shown here are facility fees; the physician reading fee is billed separately.

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

Visit the official Florida Blue website: www.floridablue.com