Optimum HealthCare Ultrasound Rates in Sarasota-Bradenton
Published Optimum HealthCare negotiated rates for Ultrasound at 3 hospitals in Sarasota-Bradenton, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$358.25
HCA Florida Blake Hospital
all plan types
Highest Rate
$549.20
HCA Florida Sarasota Doctors Hospital
all plan types
Rate Spread
2x
across all plan types
Hospitals
3
with Optimum HealthCare data
Ultrasound negotiated rates under Optimum HealthCare in Sarasota-Bradenton range from $358.25 at HCA Florida Blake Hospital to $549.20 at HCA Florida Sarasota Doctors Hospital, a spread of roughly 2x across three hospitals. The median rate is $478.56. The lowest rate is tied to an MCRHMO plan, and rates under Medicare or Medicaid-linked plans often sit below commercial ones.
Optimum HealthCare Ultrasound Rates by Hospital
| Hospital | Lowest Optimum HealthCare Rate |
|---|---|
| HCA Florida Blake Hospital | $358.25 |
| HCA Florida Englewood Hospital | $412.73 |
| HCA Florida Sarasota Doctors Hospital | $462.61 |
Median of all 24 published Optimum HealthCare rates for Ultrasound at these hospitals: $478.56
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 Sarasota-Bradenton
Frequently Asked Questions
Where is the lowest-cost Optimum HealthCare Ultrasound in Sarasota-Bradenton?
The lowest Optimum HealthCare negotiated rate for Ultrasound in Sarasota-Bradenton is $358.25 at HCA Florida Blake Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $549.20 at HCA Florida Sarasota Doctors Hospital, 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 Sarasota-Bradenton hospitals have published Optimum HealthCare rates?
3 hospitals in the Sarasota-Bradenton 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.