Optimum HealthCare Lab Work Rates in Tampa-St. Petersburg
Published Optimum HealthCare negotiated rates for Lab Work at 19 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$41.60
BayCare Hospital Wesley Chapel
all plan types
Highest Rate
$384.34
HCA Florida Trinity Hospital
all plan types
Rate Spread
9x
across all plan types
Hospitals
19
with Optimum HealthCare data
Optimum HealthCare's negotiated lab-work rates in Tampa-St. Petersburg span a 9x gap, from $41.60 at BayCare Hospital Wesley Chapel to $384.34 at HCA Florida Trinity Hospital. Across 19 hospitals, the median rate is $130.44. The lowest figures often reflect Medicare or Medicaid plans rather than commercial coverage.
Optimum HealthCare Lab Work Rates by Hospital
| Hospital | Lowest Optimum HealthCare Rate |
|---|---|
| BayCare Hospital Wesley Chapel | $41.60 |
| Mease Countryside Hospital | $41.60 |
| Mease Dunedin Hospital | $41.60 |
| Morton Plant Hospital | $41.60 |
| Morton Plant North Bay Hospital | $41.60 |
| South Florida Baptist Hospital | $41.60 |
| St. Joseph's Hospital | $41.60 |
| HCA Florida Bayonet Point Hospital | $74.73 |
| HCA Florida Oak Hill Hospital | $130.44 |
| HCA Florida South Shore Hospital | $231.70 |
| HCA Florida Pasadena Hospital | $232.52 |
| HCA Florida St. Petersburg Hospital | $232.52 |
| HCA Florida Northside Hospital | $268.38 |
| HCA Florida Brandon Hospital | $277.78 |
| HCA Florida South Tampa Hospital | $282.33 |
| HCA Florida West Tampa Hospital | $282.33 |
| HCA Florida Largo Hospital | $282.68 |
| HCA Florida Largo West Hospital | $282.68 |
| HCA Florida Trinity Hospital | $384.34 |
Median of all 64 published Optimum HealthCare rates for Lab Work at these hospitals: $130.44
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 Lab Work Rates in Tampa-St. Petersburg
Where Tampa lab work rates start with Optimum HealthCare. The lowest published rate is $41.60, which appears at BayCare Hospital Wesley Chapel, Mease Countryside Hospital and Mease Dunedin Hospital, among others. At the top end, HCA Florida Trinity Hospital lists $384.34, HCA Florida Largo West Hospital lists $282.68 and HCA Florida Largo Hospital also lists $282.68.
How far Tampa lab work prices stretch. Across 19 hospitals, the spread shown is 9x, and the median of all 64 published rates is $130.44. The plan types beside the lowest rates are labeled Medicare HMO, so the low end likely reflects Medicare Advantage plans rather than commercial plans. Many higher rates carry the MCRHMO label, so the plan behind a figure is worth confirming.
What to ask about Optimum HealthCare lab work in Tampa. These are facility rates, and professional fees are billed separately. Members can contact:
- Optimum HealthCare, for the negotiated rate and estimated cost share under their own plan at a named hospital, and whether that hospital is in network for the plan.
- The hospital, for a written estimate before the visit.
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 Lab Work in Tampa-St. Petersburg
Frequently Asked Questions
Where is the lowest-cost Optimum HealthCare Lab Work in Tampa-St. Petersburg?
The lowest Optimum HealthCare negotiated rate for Lab Work in Tampa-St. Petersburg is $41.60 at BayCare Hospital Wesley Chapel, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $384.34 at HCA Florida Trinity Hospital, a 9x 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 Lab Work in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Optimum HealthCare directly.
Can I get lab work done at a cheaper location with Optimum HealthCare?
Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your Optimum HealthCare plan covers independent labs like Quest or Labcorp, you may pay significantly less out of pocket. The rates on this page reflect hospital-based pricing only.
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.