Optimum HealthCare ER Visit Rates in Daytona Beach-Deltona
Published Optimum HealthCare negotiated rates for ER Visit at 3 hospitals in Daytona Beach-Deltona, FL. Data from CMS-mandated hospital transparency files.
If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Do not delay emergency care based on cost.
Lowest Rate
$285.06
Halifax Health Medical Center of Daytona Beach
all plan types
Highest Rate
$653
AdventHealth Palm Coast Parkway
all plan types
Rate Spread
2x
across all plan types
Hospitals
3
with Optimum HealthCare data
Optimum HealthCare's negotiated ER visit rates in Daytona Beach-Deltona range from $285.06 at Halifax Health Medical Center of Daytona Beach to $653 at AdventHealth Palm Coast Parkway, a 2x spread across three hospitals. The median rate is $435.74. The lowest figure is a Medicare Advantage rate, and rates under government-linked plans often run below commercial ones.
Optimum HealthCare ER Visit Rates by Hospital
| Hospital | Lowest Optimum HealthCare Rate |
|---|---|
| Halifax Health Medical Center of Daytona Beach | $285.06 |
| Halifax Health | UF Health Medical Center of Deltona | $285.06 |
| AdventHealth Palm Coast Parkway | $299.32 |
Median of all 75 published Optimum HealthCare rates for ER Visit at these hospitals: $435.74
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 ER Visit in Daytona Beach-Deltona
Frequently Asked Questions
Where is the lowest-cost Optimum HealthCare ER Visit in Daytona Beach-Deltona?
The lowest Optimum HealthCare negotiated rate for ER Visit in Daytona Beach-Deltona is $285.06 at Halifax Health Medical Center of Daytona Beach, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $653 at AdventHealth Palm Coast Parkway, a 2x 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 Daytona Beach-Deltona hospitals have published Optimum HealthCare rates?
3 hospitals in the Daytona Beach-Deltona area have published Optimum HealthCare negotiated rates for ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Optimum HealthCare directly.
Will Optimum HealthCare cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Optimum HealthCare cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.
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.