Humana ER Visit Rates in Orlando
Published Humana negotiated rates for ER Visit at 4 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.
If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Do not delay emergency care based on cost.
Lowest Rate
$90.25
UF Health Leesburg Hospital
all plan types
Highest Rate
$653
AdventHealth Orlando
all plan types
Rate Spread
7x
across all plan types
Hospitals
4
with Humana data
Humana's negotiated ER visit rates in Orlando range from $90.25 at UF Health Leesburg Hospital to $653 at AdventHealth Orlando, a 7x spread across four hospitals. The median rate is $640.03. The lowest figure is listed under ALL PRODUCTS, so it may reflect Medicaid or Medicare rates rather than commercial plans.
Humana ER Visit Rates by Hospital
| Hospital | Lowest Humana Rate |
|---|---|
| UF Health Leesburg Hospital | $90.25 |
| UF Health The Villages Hospital | $90.25 |
| AdventHealth Waterman | $289.34 |
| AdventHealth Orlando | $299.32 |
Median of all 63 published Humana rates for ER Visit at these hospitals: $640.03
Rates shown are Humana's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Humana 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 Humana ER Visit Rates in Orlando
Where Humana's Orlando area ER visit rates start and stop. Of the 4 hospitals with Humana rates, UF Health Leesburg Hospital and UF Health The Villages Hospital both list a lowest rate of $90.25. AdventHealth Waterman lists $289.34 and AdventHealth Orlando lists $299.32. At the top, UF Health Leesburg Hospital and UF Health The Villages Hospital both show a highest rate of $2,265.03, while AdventHealth Orlando tops out at $653.
How far Humana's Orlando ER visit spread runs. The page shows a 7x spread, and the median of all 63 published Humana rates for this procedure at these hospitals is $640.03. The lowest rates at AdventHealth Waterman and AdventHealth Orlando are labeled Medicare Managed Care and Careplus Medicare Managed Care plans, so the low end there likely reflects Medicare Advantage plans rather than commercial plans. The $90.25 rates are labeled ALL PRODUCTS, which does not say which plan sits behind them.
What a Humana member can ask about an Orlando ER visit. These are facility rates, and professional fees are billed separately.
- Ask Humana for your own plan's negotiated rate and estimated cost share at a named hospital, such as AdventHealth Orlando.
- Ask Humana 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 Humana Negotiated Rates
A negotiated rate is the price Humana 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 Humana 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
Frequently Asked Questions
Where is the lowest-cost Humana ER Visit in Orlando?
The lowest Humana negotiated rate for ER Visit in Orlando is $90.25 at UF Health Leesburg Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $653 at AdventHealth Orlando, a 7x difference. Commercial plan rates typically fall between these extremes.
Is the Humana negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Humana 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 Humana for a pre-service cost estimate specific to your plan.
How many Orlando hospitals have published Humana rates?
4 hospitals in the Orlando area have published Humana 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 Humana directly.
Will Humana cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Humana 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 Humana 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 Humana 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 Humana website: www.humana.com