Florida Blue Ultrasound Rates in Miami-Fort Lauderdale-West Palm Beach

Published Florida Blue negotiated rates for Ultrasound at 15 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$28.27

Cleveland Clinic Weston Hospital

all plan types

Highest Rate

$2,499

Jackson Memorial Hospital

all plan types

Rate Spread

88x

across all plan types

Hospitals

15

with Florida Blue data

Florida Blue ultrasound rates across Miami-Fort Lauderdale-West Palm Beach hospitals span 88x, from $28.27 at Cleveland Clinic Weston Hospital to $2,499 at Jackson Memorial Hospital. The median across 15 hospitals is $788. The lowest figures 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 Ultrasound Rates by Hospital

Hospital Lowest Florida Blue Rate
Cleveland Clinic Weston Hospital $28.27
Mount Sinai Medical Center $57
Lakeside Medical Center $106.74
Boca Raton Regional Hospital $107.21
Bethesda Hospital East $109.17
Holy Cross Hospital $109.17
Baptist Hospital of Miami $113
Doctors Hospital $113
Homestead Hospital $113
South Miami Hospital $113
West Kendall Baptist Hospital $113
Jackson North Medical Center $291
Jackson South Medical Center $547
Jackson West Medical Center $547
Jackson Memorial Hospital $1,260

Median of all 1027 published Florida Blue rates for Ultrasound at these hospitals: $788

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 Ultrasound Rates in Miami-Fort Lauderdale-West Palm Beach

Where Miami ultrasound rates start and top out at Florida Blue. Among the 15 hospitals with Florida Blue rates in this metro, the lowest published ultrasound rates are $28.27 at Cleveland Clinic Weston Hospital, $57 at Mount Sinai Medical Center and $106.74 at Lakeside Medical Center. At the other end, the highest figures are $2,499 at Jackson Memorial Hospital and $1,668.24 at Mount Sinai Medical Center, whose table row shows both a low and a high rate.

Reading the 88x spread with care. The page shows an 88x spread between the lowest and highest rates, and the median of all 1,027 published Florida Blue rates for this procedure is $788. The plan types beside the lowest rates include Health Options and Medicare Advantage HMO, so the low end likely reflects those plans rather than commercial plans. A rate in the table may not be the one that applies to your own plan.

What to ask Florida Blue and your Miami hospital. These are facility rates, and professional fees are billed separately. Questions a member can bring:

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

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 Ultrasound in Miami-Fort Lauderdale-West Palm Beach

View all Ultrasound prices in Miami-Fort Lauderdale-West Palm Beach (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Florida Blue Ultrasound in Miami-Fort Lauderdale-West Palm Beach?

The lowest Florida Blue negotiated rate for Ultrasound in Miami-Fort Lauderdale-West Palm Beach is $28.27 at Cleveland Clinic Weston Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,499 at Jackson Memorial Hospital, an 88x 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 Miami-Fort Lauderdale-West Palm Beach hospitals have published Florida Blue rates?

15 hospitals in the Miami-Fort Lauderdale-West Palm Beach 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