Florida Blue ER Visit Rates in Orlando

Published Florida Blue negotiated rates for ER Visit at 10 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

$111.93

UF Health Leesburg Hospital

all plan types

Highest Rate

$6,146

UCF Lake Nona Hospital

all plan types

Rate Spread

55x

across all plan types

Hospitals

10

with Florida Blue data

Florida Blue's negotiated ER visit rates in Orlando span a 55x gap, from $111.93 at UF Health Leesburg Hospital to $6,146 at UCF Lake Nona Hospital. The median across 10 hospitals is $2,317.99. Lowest rates often reflect Medicaid or Medicare plan types rather than commercial coverage.

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 ER Visit Rates by Hospital

Hospital Lowest Florida Blue Rate
UF Health Leesburg Hospital $111.93
UF Health The Villages Hospital $111.93
AdventHealth Orlando $285.06
AdventHealth Waterman $293.62
Nemours Children's Hospital, Florida $757.60
HCA Florida Lake Monroe Hospital $1,583
HCA Florida Oviedo Medical Center $1,583
HCA Florida Osceola Hospital $2,620
HCA Florida Poinciana Hospital $2,620
UCF Lake Nona Hospital $2,620

Median of all 262 published Florida Blue rates for ER Visit at these hospitals: $2,317.99

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.

Reading Florida Blue ER Visit Rates in Orlando

Where Florida Blue ER visit rates begin in Orlando. The lowest published rate is $111.93, listed at UF Health Leesburg Hospital and UF Health The Villages Hospital, with AdventHealth Orlando next at $285.06. At the top, UCF Lake Nona Hospital shows $6,146, as do HCA Florida Osceola Hospital and HCA Florida Poinciana Hospital.

Reading the 55x Orlando spread. Across 10 hospitals, the gap between the lowest and highest rate is 55x, and the median of all 262 published rates is $2,317.99. The plan type behind each low rate is Gatorcare at the UF Health hospitals and Medicare Managed Care plans at AdventHealth Orlando and AdventHealth Waterman, so the low end likely reflects those plans rather than commercial plans.

Questions for Florida Blue and your Orlando hospital. These are facility rates, and professional fees are billed separately.

  • Ask Florida Blue for your own plan's negotiated rate and estimated cost share for an ER visit at a named hospital, such as AdventHealth Orlando.
  • Ask Florida Blue whether that hospital is in network for your plan.
  • Ask the hospital for an estimate.

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

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 ER Visit in Orlando

View all ER Visit prices in Orlando (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Florida Blue ER Visit in Orlando?

The lowest Florida Blue negotiated rate for ER Visit in Orlando is $111.93 at UF Health Leesburg Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $6,146 at UCF Lake Nona Hospital, a 55x 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 Orlando hospitals have published Florida Blue rates?

10 hospitals in the Orlando area have published Florida Blue 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 Florida Blue directly.

Will Florida Blue cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Florida Blue 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 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