Optimum HealthCare C-Section Rates in Orlando

Published Optimum HealthCare negotiated rates for C-Section at 4 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

$1,950

HCA Florida Lake Monroe Hospital

all plan types

Highest Rate

$1,950

HCA Florida Poinciana Hospital

all plan types

Rate Spread

1x

across all plan types

Hospitals

4

with Optimum HealthCare data

All four Orlando-area hospitals in the data list the same $1,950 negotiated rate for a c-section under Optimum HealthCare, so there is no spread between them. The rate appears at HCA Florida Lake Monroe Hospital and HCA Florida Poinciana Hospital alike, though rates can vary by plan type, with Medicaid and Medicare often priced below commercial plans.

Why the range is so wide: Optimum 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.

Optimum HealthCare C-Section Rates by Hospital

Hospital Lowest Optimum HealthCare Rate
HCA Florida Lake Monroe Hospital $1,950
HCA Florida Osceola Hospital $1,950
HCA Florida Oviedo Medical Center $1,950
HCA Florida Poinciana Hospital $1,950

Median of all 16 published Optimum HealthCare rates for C-Section at these hospitals: $1,950

Rates shown are Optimum HealthCare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Optimum 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.

Understanding Optimum HealthCare Negotiated Rates

A negotiated rate is the price Optimum 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 Optimum 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 C-Section in Orlando

View all C-Section prices in Orlando (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Optimum HealthCare C-Section in Orlando?

The lowest Optimum HealthCare negotiated rate for C-Section in Orlando is $1,950 at HCA Florida Lake Monroe Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,950 at HCA Florida Poinciana Hospital. Commercial plan rates typically fall between these extremes.

Is the Optimum HealthCare negotiated rate what I'll pay?

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

How many Orlando hospitals have published Optimum HealthCare rates?

4 hospitals in the Orlando area have published Optimum HealthCare negotiated rates for C-Section in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Optimum HealthCare directly.

Does the Optimum HealthCare rate include all C-section costs?

The published rate typically covers the facility fee only. It usually does not include separately billed charges such as the surgeon's fee, anesthesia, lab work, or the newborn's hospital stay. Your total out-of-pocket cost with Optimum HealthCare will depend on these additional charges plus your plan's deductible and coinsurance.

We are not affiliated with Optimum 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 Optimum 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.