Molina Healthcare Echocardiogram Rates in Sarasota-Bradenton

Published Molina Healthcare negotiated rates for Echocardiogram at 5 hospitals in Sarasota-Bradenton, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$55.70

Sarasota Memorial Hospital

all plan types

Highest Rate

$6,152.93

HCA Florida Englewood Hospital

all plan types

Rate Spread

110x

across all plan types

Hospitals

5

with Molina Healthcare data

Molina Healthcare's negotiated echocardiogram rates in Sarasota-Bradenton span a 110x gap, from $55.70 at Sarasota Memorial Hospital (Healthy Kids) to $6,152.93 at HCA Florida Englewood Hospital. The median across five hospitals is $323.05. Lower rates often reflect Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: Molina Healthcare 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.

Molina Healthcare Echocardiogram Rates by Hospital

Hospital Lowest Molina Healthcare Rate
Sarasota Memorial Hospital $55.70
Sarasota Memorial Hospital - Venice $323.05
HCA Florida Sarasota Doctors Hospital $1,911.59
HCA Florida Blake Hospital $2,175.68
HCA Florida Englewood Hospital $3,653.30

Median of all 20 published Molina Healthcare rates for Echocardiogram at these hospitals: $323.05

Rates shown are Molina Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Molina Healthcare 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 Molina Healthcare Echocardiogram Rates in Sarasota-Bradenton

Where Sarasota echocardiogram rates start for Molina Healthcare. The lowest published rates in the table are $55.70 at Sarasota Memorial Hospital and $323.05 at Sarasota Memorial Hospital - Venice. The next lowest is HCA Florida Sarasota Doctors Hospital at $1,911.59. At the top, HCA Florida Englewood Hospital lists $6,152.93, and HCA Florida Blake Hospital lists a high of $3,664.31.

How wide the Molina Healthcare spread runs in Sarasota-Bradenton. The spread across the five hospitals is 110x, and the median of all 20 published rates is $323.05. The lowest rates at the two Sarasota Memorial hospitals are tied to Healthy Kids, which looks like a CHIP-type plan, so the low end likely reflects those plans rather than commercial plans. A rate does not always show which plan sits behind it.

What Molina Healthcare members can ask about a Sarasota echocardiogram. Questions to bring:

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

These are facility rates, and professional fees are billed separately.

Written from the rates in the table above. General information, not medical or insurance advice.

Understanding Molina Healthcare Negotiated Rates

A negotiated rate is the price Molina Healthcare 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 Molina Healthcare 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 Echocardiogram in Sarasota-Bradenton

View all Echocardiogram prices in Sarasota-Bradenton (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Molina Healthcare Echocardiogram in Sarasota-Bradenton?

The lowest Molina Healthcare negotiated rate for Echocardiogram in Sarasota-Bradenton is $55.70 at Sarasota Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $6,152.93 at HCA Florida Englewood Hospital, an 110x difference. Commercial plan rates typically fall between these extremes.

Is the Molina Healthcare negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Molina Healthcare 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 Molina Healthcare for a pre-service cost estimate specific to your plan.

How many Sarasota-Bradenton hospitals have published Molina Healthcare rates?

5 hospitals in the Sarasota-Bradenton area have published Molina Healthcare negotiated rates for Echocardiogram in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Molina Healthcare directly.

Does Molina Healthcare require prior authorization for an echocardiogram?

Many Molina Healthcare plans require prior authorization for echocardiograms. Without it, the claim may be denied. Your referring provider's office typically handles the authorization request. The rates shown here are facility fees; the physician reading fee is billed separately.

We are not affiliated with Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare website: www.molinahealthcare.com