Optimum HealthCare Ultrasound Rates in Tampa-St. Petersburg

Published Optimum HealthCare negotiated rates for Ultrasound at 19 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$15.40

South Florida Baptist Hospital

all plan types

Highest Rate

$979.03

HCA Florida West Tampa Hospital

all plan types

Rate Spread

64x

across all plan types

Hospitals

with Optimum HealthCare data

Optimum HealthCare's negotiated ultrasound rates in Tampa-St. Petersburg span a 64x gap, from $15.40 at South Florida Baptist Hospital to $979.03 at HCA Florida West Tampa Hospital. Across 19 hospitals, the median rate is $437.38. The lowest figures often reflect Medicaid or Medicare plan types rather than commercial coverage.

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	Plan Type	Highest Rate	Plans
South Florida Baptist Hospital	$15.40	Medicare HMO	$406	3
St. Joseph's Hospital	$15.40	Medicare HMO	$406	5
HCA Florida Bayonet Point Hospital	$280.64	MCRHMO	$336.71	6
HCA Florida Pasadena Hospital	$290.98	MCRHMO	$526.04	12
HCA Florida St. Petersburg Hospital	$290.98	MCRHMO	$526.04	12
HCA Florida Northside Hospital	$292.48	MCRHMO	$410.15	6
BayCare Hospital Wesley Chapel	$294	Medicare HMO	$406	2
Mease Countryside Hospital	$294	Medicare HMO	$406	2
Mease Dunedin Hospital	$294	Medicare HMO	$406	2
Morton Plant Hospital	$294	Medicare HMO	$406	2
Morton Plant North Bay Hospital	$294	Medicare HMO	$406	2
HCA Florida South Shore Hospital	$376.48	MCRHMO	$471.99	12
HCA Florida Largo Hospital	$422.66	MCRHMO	$1,007.90	6
HCA Florida Largo West Hospital	$422.66	MCRHMO	$1,007.90	6
HCA Florida Trinity Hospital	$501.78	MCRHMO	$672.17	6
HCA Florida Oak Hill Hospital	$508.43	MCRHMO	$1,260.82	6
HCA Florida Brandon Hospital	$664.18	MCRHMO	$898.36	6
HCA Florida South Tampa Hospital	$723.68	MCRHMO	$979.03	6
HCA Florida West Tampa Hospital	$723.68	MCRHMO	$979.03	6

Median of all 108 published Optimum HealthCare rates for Ultrasound at these hospitals: $437.38

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 Tampa-St. Petersburg

Where Tampa ultrasound rates begin and peak for Optimum HealthCare. The lowest published rate is $15.40, shown at both South Florida Baptist Hospital and St. Joseph's Hospital. HCA Florida Bayonet Point Hospital follows with a lowest rate of $280.64. At the high end, HCA Florida West Tampa Hospital shows $979.03, and HCA Florida South Tampa Hospital also lists $979.03 as its highest.

How far Tampa-St. Petersburg ultrasound rates spread. Across 19 hospitals, the page shows a 64x spread between the lowest and highest rates, and the median of all 108 published rates is $437.38. The plan types beside the lowest rates are Medicare HMO and MCRHMO, which look like Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans.

What to ask about an Optimum HealthCare ultrasound in Tampa. These are facility rates, and professional fees are billed separately. A member can ask:

Optimum HealthCare for their own plan's negotiated rate and estimated cost share at a named hospital
Optimum HealthCare whether that hospital is in network for their plan
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 Tampa-St. Petersburg

Aetna $35.65 - $3,765.52 28 hospitals Simply Healthcare $13.86 - $1,932.97 27 hospitals Sunshine Health $110.54 - $3,200.69 27 hospitals Freedom Health $15.40 - $903.72 26 hospitals UnitedHealthcare $40.96 - $5,648.28 24 hospitals Cigna $40.58 - $10,041.38 20 hospitals

View all Ultrasound prices in Tampa-St. Petersburg (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Optimum HealthCare Ultrasound in Tampa-St. Petersburg?

The lowest Optimum HealthCare negotiated rate for Ultrasound in Tampa-St. Petersburg is $15.40 at South Florida Baptist Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $979.03 at HCA Florida West Tampa Hospital, a 64x 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 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.