Optimum HealthCare CT Scan Rates in Tampa-St. Petersburg

Published Optimum HealthCare negotiated rates for CT Scan at 19 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$1,132.95

BayCare Hospital Wesley Chapel

all plan types

Highest Rate

$3,472.65

HCA Florida Oak Hill Hospital

all plan types

Rate Spread

3x

across all plan types

Hospitals

19

with Optimum HealthCare data

Optimum HealthCare's negotiated CT scan rates in Tampa-St. Petersburg span a threefold range, from $1,132.95 at BayCare Hospital Wesley Chapel to $3,472.65 at HCA Florida Oak Hill Hospital. Across 19 hospitals, the median rate is $2,331.83. The lowest rates reflect Medicare HMO pricing, which often runs below commercial plan rates.

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 CT Scan Rates by Hospital

Hospital Lowest Optimum HealthCare Rate
BayCare Hospital Wesley Chapel $1,132.95
Mease Countryside Hospital $1,132.95
Mease Dunedin Hospital $1,132.95
Morton Plant Hospital $1,132.95
Morton Plant North Bay Hospital $1,132.95
South Florida Baptist Hospital $1,132.95
St. Joseph's Hospital $1,132.95
HCA Florida Largo Hospital $1,273.11
HCA Florida Largo West Hospital $1,273.11
HCA Florida Trinity Hospital $1,943.21
HCA Florida South Tampa Hospital $1,993.27
HCA Florida West Tampa Hospital $1,993.27
HCA Florida South Shore Hospital $2,331.83
HCA Florida Brandon Hospital $2,437.91
HCA Florida Northside Hospital $2,464.74
HCA Florida Pasadena Hospital $2,502.76
HCA Florida St. Petersburg Hospital $2,502.76
HCA Florida Bayonet Point Hospital $2,743.73
HCA Florida Oak Hill Hospital $2,884.67

Median of all 92 published Optimum HealthCare rates for CT Scan at these hospitals: $2,331.83

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.

Reading Optimum HealthCare CT Scan Rates in Tampa-St. Petersburg

Where Tampa CT scan rates start for Optimum HealthCare. The lowest published rate is $1,132.95, shared by BayCare Hospital Wesley Chapel, Mease Countryside Hospital and Mease Dunedin Hospital, among others. At the other end, HCA Florida Oak Hill Hospital lists $3,472.65, HCA Florida Northside Hospital lists $3,298.15, and HCA Florida Bayonet Point Hospital lists $3,001.66 as its top rate.

How far Optimum HealthCare CT scan rates stretch around Tampa. Across 19 hospitals the page shows a 3x spread, and the median of all 92 published rates is $2,331.83. The plan types beside the lowest rates are Medicare HMO and MCRHMO, which look like Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans.

Questions to bring about a Tampa CT scan with Optimum HealthCare. These are facility rates, and professional fees such as the radiologist's reading are billed separately.

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

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

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 CT Scan in Tampa-St. Petersburg

View all CT Scan prices in Tampa-St. Petersburg (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Optimum HealthCare CT Scan in Tampa-St. Petersburg?

The lowest Optimum HealthCare negotiated rate for CT Scan in Tampa-St. Petersburg is $1,132.95 at BayCare Hospital Wesley Chapel, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,472.65 at HCA Florida Oak Hill Hospital, a 3x difference. 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 Tampa-St. Petersburg hospitals have published Optimum HealthCare rates?

19 hospitals in the Tampa-St. Petersburg area have published Optimum HealthCare negotiated rates for CT Scan in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Optimum HealthCare directly.

How does Optimum HealthCare classify CT scan charges?

CT scans may be billed differently depending on how Optimum HealthCare classifies the visit. Your share of the cost also varies by whether the facility is in-network. Confirm with Optimum HealthCare how the scan will be billed and what your cost-sharing will be before your appointment.

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.