Molina Healthcare Ultrasound Rates in Tampa-St. Petersburg
Published Molina Healthcare negotiated rates for Ultrasound at 20 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$13.86
South Florida Baptist Hospital
all plan types
Highest Rate
$3,388.97
HCA Florida West Tampa Hospital
all plan types
Rate Spread
245x
across all plan types
Hospitals
20
with Molina Healthcare data
Molina Healthcare ultrasound rates in Tampa-St. Petersburg span a 245x range, from $13.86 at South Florida Baptist Hospital to $3,388.97 at HCA Florida West Tampa Hospital. The median across 20 hospitals is $1,007.24. The lowest figures are often tied to Medicaid or Medicare plan types rather than commercial coverage.
Molina Healthcare Ultrasound Rates by Hospital
| Hospital | Lowest Molina Healthcare Rate |
|---|---|
| South Florida Baptist Hospital | $13.86 |
| St. Joseph's Hospital | $13.86 |
| BayCare Hospital Wesley Chapel | $110.54 |
| Mease Countryside Hospital | $110.54 |
| Mease Dunedin Hospital | $110.54 |
| Morton Plant Hospital | $110.54 |
| Morton Plant North Bay Hospital | $110.54 |
| Tampa General Hospital | $163.76 |
| HCA Florida Bayonet Point Hospital | $683.61 |
| HCA Florida Pasadena Hospital | $708.79 |
| HCA Florida St. Petersburg Hospital | $708.79 |
| HCA Florida Northside Hospital | $712.45 |
| HCA Florida South Shore Hospital | $917.07 |
| HCA Florida Largo Hospital | $1,029.56 |
| HCA Florida Largo West Hospital | $1,029.56 |
| HCA Florida Trinity Hospital | $1,222.29 |
| HCA Florida Oak Hill Hospital | $1,238.47 |
| HCA Florida Brandon Hospital | $1,617.87 |
| HCA Florida South Tampa Hospital | $1,762.82 |
| HCA Florida West Tampa Hospital | $1,762.82 |
Median of all 130 published Molina Healthcare rates for Ultrasound at these hospitals: $1,007.24
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 Ultrasound Rates in Tampa-St. Petersburg
Where Molina Healthcare ultrasound rates begin around Tampa. Across 20 hospitals, the lowest published rates are $13.86 at South Florida Baptist Hospital and St. Joseph's Hospital, then $110.54 at BayCare Hospital Wesley Chapel. At the other end, HCA Florida West Tampa Hospital and HCA Florida South Tampa Hospital both list a highest rate of $3,388.97, and HCA Florida Oak Hill Hospital lists $5,172.60 as its highest.
How far Tampa ultrasound rates spread, and what sits behind the low end. The page shows a spread of 245x, and the median of all 130 published Molina Healthcare rates for this procedure at these hospitals is $1,007.24. The two lowest rates are tagged Medicare HMO and the next group is tagged Medicaid HMO, so the low end likely reflects those plans rather than commercial plans. Plan types are not tagged the same way on every row, so the plan behind a rate is not always clear.
What Molina Healthcare members can ask before a Tampa ultrasound. Questions worth raising:
- 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 Ultrasound in Tampa-St. Petersburg
Frequently Asked Questions
Where is the lowest-cost Molina Healthcare Ultrasound in Tampa-St. Petersburg?
The lowest Molina Healthcare negotiated rate for Ultrasound in Tampa-St. Petersburg is $13.86 at South Florida Baptist Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,388.97 at HCA Florida West Tampa Hospital, a 245x 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 Tampa-St. Petersburg hospitals have published Molina Healthcare rates?
20 hospitals in the Tampa-St. Petersburg area have published Molina Healthcare 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 Molina Healthcare directly.
Are prenatal ultrasounds covered differently by Molina Healthcare?
Molina Healthcare 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 Molina Healthcare plan documents for specifics on ultrasound coverage.
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