Optimum HealthCare Ultrasound Rates in Miami-Fort Lauderdale-West Palm Beach
Published Optimum HealthCare negotiated rates for Ultrasound at 9 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$181.20
HCA Florida Mercy Hospital
all plan types
Highest Rate
$485.58
HCA Florida Woodmont Hospital
all plan types
Rate Spread
3x
across all plan types
Hospitals
9
with Optimum HealthCare data
Ultrasound rates with Optimum HealthCare across nine Miami-Fort Lauderdale-West Palm Beach hospitals range from $181.20 at HCA Florida Mercy Hospital (MGMCR) to $485.58 at HCA Florida Woodmont Hospital, a threefold spread. The median negotiated rate is $421.36. Lowest figures can reflect Medicaid or Medicare plan types rather than commercial coverage.
Optimum HealthCare Ultrasound Rates by Hospital
| Hospital | Lowest Optimum HealthCare Rate |
|---|---|
| HCA Florida Mercy Hospital | $181.20 |
| HCA Florida Westside Hospital | $237.36 |
| HCA Florida Aventura Hospital | $270.64 |
| HCA Florida Kendall Hospital | $282.51 |
| HCA Florida Palms West Hospital | $413.32 |
| HCA Florida Northwest Hospital | $429.40 |
| HCA Florida JFK Hospital | $460.96 |
| HCA Florida JFK North Hospital | $460.96 |
| HCA Florida Woodmont Hospital | $461.24 |
Median of all 40 published Optimum HealthCare rates for Ultrasound at these hospitals: $421.36
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 Ultrasound Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami ultrasound rates start with Optimum HealthCare. The lowest published rates in the table are $181.20 at HCA Florida Mercy Hospital, $237.36 at HCA Florida Westside Hospital and $270.64 at HCA Florida Aventura Hospital. At the other end, HCA Florida Woodmont Hospital shows $485.58 as its highest rate, and HCA Florida JFK Hospital and HCA Florida JFK North Hospital each show a lowest rate of $460.96.
How far Optimum HealthCare ultrasound rates stretch around Miami. The spread on this page is 3x, and the median of all 40 published rates is $421.36. Every lowest rate in the table is tagged with the plan type MGMCR, which looks like a Medicare Advantage plan type. If so, the low end likely reflects those plans rather than commercial plans, so the plan behind a given rate may not match yours.
What to ask about a Miami ultrasound with Optimum HealthCare. These are facility rates, and professional fees are billed separately. A few questions to bring:
- Ask Optimum HealthCare for your own plan's negotiated rate and estimated cost share at a named hospital.
- Ask whether that hospital is in network for your plan.
- Ask 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 Ultrasound in Miami-Fort Lauderdale-West Palm Beach
Frequently Asked Questions
Where is the lowest-cost Optimum HealthCare Ultrasound in Miami-Fort Lauderdale-West Palm Beach?
The lowest Optimum HealthCare negotiated rate for Ultrasound in Miami-Fort Lauderdale-West Palm Beach is $181.20 at HCA Florida Mercy Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $485.58 at HCA Florida Woodmont 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 Miami-Fort Lauderdale-West Palm Beach hospitals have published Optimum HealthCare rates?
9 hospitals in the Miami-Fort Lauderdale-West Palm Beach 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.