Humana ER Visit Rates in Tampa-St. Petersburg
Published Humana negotiated rates for ER Visit at 20 hospitals in Tampa-St. Petersburg, 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
$285.06
AdventHealth North Pinellas
all plan types
Highest Rate
$6,400.60
HCA Florida St. Petersburg Hospital
all plan types
Rate Spread
22x
across all plan types
Hospitals
20
with Humana data
Humana's negotiated ER visit rates across 20 Tampa-St. Petersburg hospitals span 22x, from $285.06 at AdventHealth North Pinellas to $6,400.60 at HCA Florida St. Petersburg Hospital. The median rate is $1,654.65. Lower rates often reflect Medicaid or Medicare managed care plans, such as the Careplus HMO behind the $285.06 figure, rather than commercial coverage.
Humana ER Visit Rates by Hospital
| Hospital | Lowest Humana Rate |
|---|---|
| AdventHealth North Pinellas | $285.06 |
| BayCare Hospital Wesley Chapel | $288.74 |
| Mease Countryside Hospital | $288.74 |
| Mease Dunedin Hospital | $288.74 |
| Morton Plant Hospital | $288.74 |
| Morton Plant North Bay Hospital | $288.74 |
| South Florida Baptist Hospital | $288.74 |
| St. Joseph's Hospital | $288.74 |
| HCA Florida Oak Hill Hospital | $741.36 |
| HCA Florida Northside Hospital | $965.51 |
| HCA Florida South Shore Hospital | $1,318.75 |
| HCA Florida Trinity Hospital | $1,462.30 |
| HCA Florida South Tampa Hospital | $1,512.24 |
| HCA Florida West Tampa Hospital | $1,512.24 |
| Tampa General Hospital Brooksville | $1,516.54 |
| HCA Florida Largo Hospital | $1,570.96 |
| HCA Florida Largo West Hospital | $1,570.96 |
| HCA Florida Brandon Hospital | $1,612.41 |
| HCA Florida Bayonet Point Hospital | $1,750.85 |
| HCA Florida St. Petersburg Hospital | $2,882.62 |
Median of all 264 published Humana rates for ER Visit at these hospitals: $1,654.65
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 Tampa-St. Petersburg
Where Humana ER visit rates start in Tampa. The lowest published rate is $285.06 at AdventHealth North Pinellas. BayCare Hospital Wesley Chapel and Mease Countryside Hospital follow, each with a lowest rate of $288.74. At the other end, HCA Florida St. Petersburg Hospital shows $6,400.60, and HCA Florida Northside Hospital's highest rate is $3,628.67. Tampa General Hospital Brooksville tops out at $3,308.51.
How far the Tampa spread runs for Humana, and the plan label. Across 20 hospitals, the spread between lowest and highest is 22x, and the median of all 264 published Humana rates for this visit is $1,654.65. The lowest rate at AdventHealth North Pinellas is listed under a Careplus Medicare Managed Care HMO plan, so the low end likely reflects Medicare Advantage rather than commercial plans. Other rates carry labels such as Commercial Other, HMO or All Commercial Plans.
What a Humana member in Tampa can ask. These are facility rates, and professional fees are billed separately. A member can ask:
- Humana, for the negotiated rate and estimated cost share under their own plan at a named hospital
- Humana, whether that hospital is in network for their plan
- The hospital, for an estimate of the ER visit
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 Tampa-St. Petersburg
Frequently Asked Questions
Where is the lowest-cost Humana ER Visit in Tampa-St. Petersburg?
The lowest Humana negotiated rate for ER Visit in Tampa-St. Petersburg is $285.06 at AdventHealth North Pinellas, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $6,400.60 at HCA Florida St. Petersburg Hospital, a 22x 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 Tampa-St. Petersburg hospitals have published Humana rates?
20 hospitals in the Tampa-St. Petersburg 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