Oscar Health ER Visit Rates in Orlando
Published Oscar Health negotiated rates for ER Visit at 7 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.
If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Do not delay emergency care based on cost.
Lowest Rate
$478.57
AdventHealth Orlando
all plan types
Highest Rate
$4,133
UCF Lake Nona Hospital
all plan types
Rate Spread
9x
across all plan types
Hospitals
7
with Oscar Health data
Oscar Health's negotiated ER-visit rates in Orlando span a 9x gap, from $478.57 at AdventHealth Orlando to $4,133 at UCF Lake Nona Hospital. Across the 7 hospitals listed, the median rate is $2,344. Lowest figures can reflect Medicaid or Medicare-linked plan types rather than commercial coverage, so rates vary by plan.
Oscar Health ER Visit Rates by Hospital
| Hospital | Lowest Oscar Health Rate |
|---|---|
| AdventHealth Orlando | $478.57 |
| AdventHealth Waterman | $575.20 |
| HCA Florida Lake Monroe Hospital | $2,344 |
| HCA Florida Osceola Hospital | $2,344 |
| HCA Florida Oviedo Medical Center | $2,344 |
| HCA Florida Poinciana Hospital | $2,344 |
| UCF Lake Nona Hospital | $2,344 |
Median of all 21 published Oscar Health rates for ER Visit at these hospitals: $2,344
Rates shown are Oscar Health's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Oscar Health 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 Oscar Health ER Visit Rates in Orlando
Where Orlando ER visit rates start and top out for Oscar Health. The lowest published rates are $478.57 at AdventHealth Orlando and $575.20 at AdventHealth Waterman. The highest is $4,133, which appears at UCF Lake Nona Hospital, HCA Florida Lake Monroe Hospital and HCA Florida Osceola Hospital, among others in the table.
How far Orlando Oscar Health ER rates spread. The page shows a 9x spread across the 7 hospitals with Oscar Health rates, and the median of all 21 published rates is $2,344. The plan types beside the lowest rates are Individual Plan Exchange and Individual Epo, not Medicaid, CHIP or Medicare Advantage labels, but the plan behind any given rate is not always spelled out, so a figure may not match your own plan.
What to ask about an Oscar Health ER visit in Orlando. These are facility rates, and professional fees are billed separately. Questions a member can bring:
- Ask Oscar Health for your own plan's negotiated rate and estimated cost share at a named hospital, such as AdventHealth Orlando.
- Ask Oscar Health 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 Oscar Health Negotiated Rates
A negotiated rate is the price Oscar Health 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 Oscar Health 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 ER Visit in Orlando
Frequently Asked Questions
Where is the lowest-cost Oscar Health ER Visit in Orlando?
The lowest Oscar Health negotiated rate for ER Visit in Orlando is $478.57 at AdventHealth Orlando, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,133 at UCF Lake Nona Hospital, a 9x difference. Commercial plan rates typically fall between these extremes.
Is the Oscar Health negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Oscar Health 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 Oscar Health for a pre-service cost estimate specific to your plan.
How many Orlando hospitals have published Oscar Health rates?
7 hospitals in the Orlando area have published Oscar Health negotiated rates for ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Oscar Health directly.
Will Oscar Health cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Oscar Health cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.
We are not affiliated with Oscar Health 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 Oscar Health or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.
Visit the official Oscar Health website: www.hioscar.com