Oscar Health ER Visit Rates in Tampa-St. Petersburg

Published Oscar Health negotiated rates for ER Visit at 20 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$356.33

Tampa General Hospital Brooksville

all plan types

Highest Rate

$3,890

HCA Florida West Tampa Hospital

all plan types

Rate Spread

11x

across all plan types

Hospitals

20

with Oscar Health data

Oscar Health's negotiated ER-visit rates across 20 Tampa-St. Petersburg hospitals span an 11x range, from $356.33 at Tampa General Hospital Brooksville to $3,890 at HCA Florida West Tampa Hospital. The median rate is $2,010. Some of the lowest figures reflect Exchange or government-linked plan types, which are not always comparable to commercial rates.

Why the range is so wide: Oscar Health 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.

Oscar Health ER Visit Rates by Hospital

Hospital Lowest Oscar Health Rate
Tampa General Hospital Brooksville $356.33
AdventHealth Tampa $470.87
AdventHealth Wesley Chapel $523.46
AdventHealth Carrollwood $532.81
Tampa General Hospital $570.13
AdventHealth North Pinellas $629.59
AdventHealth Dade City $646.16
AdventHealth Zephyrhills $661.09
HCA Florida Bayonet Point Hospital $2,010
HCA Florida Brandon Hospital $2,010
HCA Florida Largo Hospital $2,010
HCA Florida Largo West Hospital $2,010
HCA Florida Northside Hospital $2,010
HCA Florida Oak Hill Hospital $2,010
HCA Florida Pasadena Hospital $2,010
HCA Florida South Shore Hospital $2,010
HCA Florida South Tampa Hospital $2,010
HCA Florida St. Petersburg Hospital $2,010
HCA Florida Trinity Hospital $2,010
HCA Florida West Tampa Hospital $2,010

Median of all 63 published Oscar Health rates for ER Visit at these hospitals: $2,010

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 Tampa-St. Petersburg

Where Oscar Health ER rates start and top out in Tampa. Across 20 hospitals, the lowest published rates are $356.33 at Tampa General Hospital Brooksville, $470.87 at AdventHealth Tampa and $523.46 at AdventHealth Wesley Chapel. At the other end, HCA Florida West Tampa Hospital, HCA Florida Trinity Hospital and HCA Florida St. Petersburg Hospital each show a high of $3,890.

How far the Tampa-St. Petersburg spread stretches. The spread on this page is 11x, and the median of all 63 published Oscar Health rates for this ER visit is $2,010. The plan types beside the lowest rates are Exchange and Individual Epo, which look like individual marketplace plans, so the plan behind a given rate is not always a perfect match for yours. Confirm which plan a rate applies to before comparing hospitals.

What to ask about an Oscar Health ER visit near Tampa. These are facility rates only, and professional fees are billed separately.

  • Ask Oscar Health for your own plan's negotiated rate and estimated cost share at a named hospital, such as Tampa General 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 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 Tampa-St. Petersburg

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

Frequently Asked Questions

Where is the lowest-cost Oscar Health ER Visit in Tampa-St. Petersburg?

The lowest Oscar Health negotiated rate for ER Visit in Tampa-St. Petersburg is $356.33 at Tampa General Hospital Brooksville, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,890 at HCA Florida West Tampa Hospital, an 11x 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 Tampa-St. Petersburg hospitals have published Oscar Health rates?

20 hospitals in the Tampa-St. Petersburg 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