Florida Blue Ultrasound Rates in Lakeland-Winter Haven

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

Lowest Rate

$24.60

Winter Haven Hospital

all plan types

Highest Rate

$1,690

Lakeland Regional Health Medical Center

all plan types

Rate Spread

69x

across all plan types

Hospitals

with Florida Blue data

Florida Blue ultrasound rates in Lakeland-Winter Haven span a 69x range, from $24.60 at Winter Haven Hospital (Commercial HMO My Blue) to $1,690 at Lakeland Regional Health Medical Center. The median across five hospitals is $847.16. Rates vary by plan type, and the lowest figures in some listings reflect Medicaid or Medicare rather than commercial contracts.

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 Ultrasound Rates by Hospital

Hospital	Lowest Florida Blue Rate	Plan Type	Highest Rate	Plans
Winter Haven Hospital	$24.60	Commercial HMO My Blue	$1,169.89	50
Bartow Regional Medical Center	$106.74	Medicare HMO	$1,074.28	14
AdventHealth Heart of Florida	$112.45	Medicare Managed Care - Hmo	$112.45	2
AdventHealth Lake Wales	$112.45	Medicare Managed Care - Hmo	$112.45	2
Lakeland Regional Health Medical Center	$889	OP	$1,690	30

Median of all 98 published Florida Blue rates for Ultrasound at these hospitals: $847.16

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 Ultrasound in Lakeland-Winter Haven

Aetna $35.65 - $302.48 4 hospitals Cigna $40.58 - $326.50 4 hospitals Freedom Health $110.54 - $114.63 4 hospitals Simply Healthcare $13.86 - $115.73 4 hospitals UnitedHealthcare $40.96 - $240.37 4 hospitals

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

Frequently Asked Questions

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

The lowest Florida Blue negotiated rate for Ultrasound in Lakeland-Winter Haven is $24.60 at Winter Haven Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,690 at Lakeland Regional Health Medical Center, a 69x 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 Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Florida Blue directly.

Are prenatal ultrasounds covered differently by Florida Blue?

Florida Blue 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 Florida Blue plan documents for specifics on ultrasound coverage.

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