Optimum HealthCare Ultrasound Rates in Daytona Beach-Deltona

Published Optimum HealthCare negotiated rates for Ultrasound at 3 hospitals in Daytona Beach-Deltona, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$109.17

Halifax Health Medical Center of Daytona Beach

all plan types

Highest Rate

$114.63

AdventHealth Palm Coast Parkway

all plan types

Rate Spread

1x

across all plan types

Hospitals

3

with Optimum HealthCare data

Optimum HealthCare ultrasound rates in the Daytona Beach-Deltona area span just $109.17 to $114.63 across three hospitals, a roughly 1x spread. Halifax Health Medical Center of Daytona Beach posts the lowest rate at $109.17, though that figure is tied to a Medicare Advantage plan, and lowest rates often reflect Medicaid or Medicare rather than commercial coverage. AdventHealth Palm Coast Parkway lists the highest at $114.63.

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 Ultrasound Rates by Hospital

Hospital Lowest Optimum HealthCare Rate
Halifax Health Medical Center of Daytona Beach $109.17
Halifax Health | UF Health Medical Center of Deltona $109.17
AdventHealth Palm Coast Parkway $114.63

Median of all 10 published Optimum HealthCare rates for Ultrasound at these hospitals: $109.17

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 Ultrasound in Daytona Beach-Deltona

View all Ultrasound prices in Daytona Beach-Deltona (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Optimum HealthCare Ultrasound in Daytona Beach-Deltona?

The lowest Optimum HealthCare negotiated rate for Ultrasound in Daytona Beach-Deltona is $109.17 at Halifax Health Medical Center of Daytona Beach, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $114.63 at AdventHealth Palm Coast Parkway. 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 Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Optimum HealthCare directly.

Are prenatal ultrasounds covered differently by Optimum HealthCare?

Optimum HealthCare plans often apply different cost-sharing rules for prenatal ultrasounds compared to diagnostic ultrasounds. Some may be covered under maternity benefits with different deductible and copay structures. Check your Optimum HealthCare plan documents for specifics on ultrasound coverage.

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.