Oscar Health ER Visit Rates in Sarasota-Bradenton
Published Oscar Health negotiated rates for ER Visit at 5 hospitals in Sarasota-Bradenton, 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
$122.15
Sarasota Memorial Hospital
all plan types
Highest Rate
$4,221
HCA Florida Sarasota Doctors Hospital
all plan types
Rate Spread
35x
across all plan types
Hospitals
5
with Oscar Health data
Oscar Health's negotiated ER-visit rates in Sarasota-Bradenton span a 35x range, from $122.15 at Sarasota Memorial Hospital (Individual Exchange) to $4,221 at HCA Florida Sarasota Doctors Hospital. The median across the five hospitals is $2,180. Lowest listed rates can reflect Medicaid or Medicare plan types rather than commercial contracts.
Oscar Health ER Visit Rates by Hospital
| Hospital | Lowest Oscar Health Rate |
|---|---|
| Sarasota Memorial Hospital | $122.15 |
| Sarasota Memorial Hospital - Venice | $1,618.71 |
| HCA Florida Blake Hospital | $2,180 |
| HCA Florida Englewood Hospital | $2,180 |
| HCA Florida Sarasota Doctors Hospital | $2,180 |
Median of all 21 published Oscar Health rates for ER Visit at these hospitals: $2,180
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 Sarasota-Bradenton
Where Sarasota ER visit rates start for Oscar Health. Among the 5 hospitals with Oscar Health rates, Sarasota Memorial Hospital shows the lowest at $122.15, followed by Sarasota Memorial Hospital - Venice at $1,618.71. HCA Florida Blake Hospital, HCA Florida Englewood Hospital and HCA Florida Sarasota Doctors Hospital each list $2,180 as their lowest, and the highest published rate is $4,221 at HCA Florida Sarasota Doctors Hospital.
How far the Oscar Health ER spread stretches in Sarasota-Bradenton. The page shows a 35x spread between the lowest and highest rates, and the median of all 21 published rates is $2,180. The plan types beside the lowest rates are listed as Individual Exchange or HIX, not Medicaid, CHIP or Medicare Advantage, but the plan behind any single rate is not always fully described, so read the table with that in mind.
Questions for Oscar Health and your Sarasota hospital. These are facility rates, and professional fees are billed separately. A member can ask:
- Oscar Health: what is my own plan's negotiated rate and estimated cost share for an ER visit at a named hospital?
- Oscar Health: is that hospital in network for my plan?
- The hospital: can you give me an estimate for an ER visit?
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 Sarasota-Bradenton
Frequently Asked Questions
Where is the lowest-cost Oscar Health ER Visit in Sarasota-Bradenton?
The lowest Oscar Health negotiated rate for ER Visit in Sarasota-Bradenton is $122.15 at Sarasota Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,221 at HCA Florida Sarasota Doctors Hospital, a 35x 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 Sarasota-Bradenton hospitals have published Oscar Health rates?
5 hospitals in the Sarasota-Bradenton 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