Florida Blue Ultrasound Rates in Orlando

Published Florida Blue negotiated rates for Ultrasound at 5 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

$109.17

AdventHealth Orlando

all plan types

Highest Rate

$618.82

UF Health The Villages Hospital

all plan types

Rate Spread

6x

across all plan types

Hospitals

5

with Florida Blue data

Florida Blue ultrasound rates in the Orlando area swing 6x, from $109.17 at AdventHealth Orlando to $618.82 at UF Health The Villages Hospital. The lowest figure comes from a Medicare managed care plan, and rates under such plans often run below commercial ones. Across the 5 hospitals listed, the median negotiated rate is $551.82.

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
AdventHealth Orlando $109.17
AdventHealth Waterman $112.45
Nemours Children's Hospital, Florida $210.10
UF Health Leesburg Hospital $574.84
UF Health The Villages Hospital $574.84

Median of all 49 published Florida Blue rates for Ultrasound at these hospitals: $551.82

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 Orlando

Where Orlando ultrasound rates start and end for Florida Blue. The lowest published rates are at AdventHealth Orlando at $109.17 and AdventHealth Waterman at $112.45. Nemours Children's Hospital, Florida follows at $210.10. At the other end, UF Health The Villages Hospital shows $618.82, and UF Health Leesburg Hospital shows $607.80 as its highest.

Reading the 6x Florida Blue ultrasound spread. The page shows a 6x spread across 5 hospitals, with a median of $551.82 among 49 published rates. The plan types beside the lowest rates are Medicare Managed Care plans, so the low end likely reflects those plans rather than commercial plans. Nemours Children's Hospital, Florida lists 27 plans, so the plan behind any one rate is worth checking.

Questions for Florida Blue and your Orlando ultrasound hospital. These are facility rates, and professional fees are billed separately. Members can ask:

  • Florida Blue for the negotiated rate and estimated cost share under their own plan at a named hospital
  • Florida Blue and the hospital whether that hospital is in network for their plan
  • 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 Ultrasound in Orlando

View all Ultrasound prices in Orlando (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Florida Blue Ultrasound in Orlando?

The lowest Florida Blue negotiated rate for Ultrasound in Orlando is $109.17 at AdventHealth Orlando, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $618.82 at UF Health The Villages Hospital, a 6x 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?

5 hospitals in the Orlando 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