Optimum HealthCare Echocardiogram Rates in Tampa-St. Petersburg
Published Optimum HealthCare negotiated rates for Echocardiogram at 19 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$636.20
HCA Florida Largo Hospital
all plan types
Highest Rate
$1,902.23
HCA Florida South Shore Hospital
all plan types
Rate Spread
3x
across all plan types
Hospitals
19
with Optimum HealthCare data
Optimum HealthCare's negotiated rates for an echocardiogram in Tampa-St. Petersburg range from $636.20 at HCA Florida Largo Hospital to $1,902.23 at HCA Florida South Shore Hospital, a threefold spread across 19 hospitals. The median rate is $813.87. The lowest rates are often tied to Medicaid or Medicare plan types rather than commercial plans.
Optimum HealthCare Echocardiogram Rates by Hospital
| Hospital | Lowest Optimum HealthCare Rate |
|---|---|
| HCA Florida Largo Hospital | $636.20 |
| HCA Florida Largo West Hospital | $636.20 |
| HCA Florida Bayonet Point Hospital | $652.14 |
| BayCare Hospital Wesley Chapel | $652.40 |
| Mease Countryside Hospital | $652.40 |
| Mease Dunedin Hospital | $652.40 |
| Morton Plant Hospital | $652.40 |
| Morton Plant North Bay Hospital | $652.40 |
| South Florida Baptist Hospital | $652.40 |
| St. Joseph's Hospital | $652.40 |
| HCA Florida West Tampa Hospital | $801.16 |
| HCA Florida Pasadena Hospital | $813.87 |
| HCA Florida St. Petersburg Hospital | $813.87 |
| HCA Florida Brandon Hospital | $848.85 |
| HCA Florida South Tampa Hospital | $858.78 |
| HCA Florida Oak Hill Hospital | $1,107.07 |
| HCA Florida Trinity Hospital | $1,113.17 |
| HCA Florida Northside Hospital | $1,618.11 |
| HCA Florida South Shore Hospital | $1,902.23 |
Median of all 55 published Optimum HealthCare rates for Echocardiogram at these hospitals: $813.87
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 Echocardiogram Rates in Tampa-St. Petersburg
Where Tampa echocardiogram rates start and end for Optimum HealthCare. The lowest published rate is $636.20, shared by HCA Florida Largo Hospital and HCA Florida Largo West Hospital, followed by HCA Florida Bayonet Point Hospital at $652.14. At the other end, HCA Florida South Shore Hospital shows $1,902.23, HCA Florida Northside Hospital shows $1,618.11 and HCA Florida Trinity Hospital shows $1,113.17.
How wide the echocardiogram spread runs in Tampa-St. Petersburg. Rates across the 19 hospitals differ by 3x, and the median of all 55 published rates is $813.87. The plan types listed beside the lowest rates are MCRHMO and Medicare HMO, which look like Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans.
Questions to bring about your Optimum HealthCare echocardiogram. These are facility rates, and professional fees are billed separately. Members can ask:
- Optimum HealthCare for the negotiated rate and estimated cost share under their own plan at a named hospital
- Optimum HealthCare whether that hospital is in network for their plan
- The hospital for an estimate
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 Echocardiogram in Tampa-St. Petersburg
Frequently Asked Questions
Where is the lowest-cost Optimum HealthCare Echocardiogram in Tampa-St. Petersburg?
The lowest Optimum HealthCare negotiated rate for Echocardiogram in Tampa-St. Petersburg is $636.20 at HCA Florida Largo Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,902.23 at HCA Florida South Shore 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 Echocardiogram 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 Optimum HealthCare require prior authorization for an echocardiogram?
Many Optimum 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 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.