Simply Healthcare ER Visit Rates in Daytona Beach-Deltona

Published Simply Healthcare negotiated rates for ER Visit at 6 hospitals in Daytona Beach-Deltona, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$302.17

AdventHealth Daytona Beach

all plan types

Highest Rate

$659.21

AdventHealth Palm Coast Parkway

all plan types

Rate Spread

2x

across all plan types

Hospitals

6

with Simply Healthcare data

Simply Healthcare's negotiated ER visit rates in Daytona Beach-Deltona range from $302.17 at AdventHealth Daytona Beach to $659.21 at AdventHealth Palm Coast Parkway, a roughly 2x spread across 6 hospitals. The median rate is $461.88. The lowest rate is tied to a Medicare Managed Care HMO plan, and rates under government-linked plans often run below commercial ones.

Why the range is so wide: Simply 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.

Simply Healthcare ER Visit Rates by Hospital

Hospital Lowest Simply Healthcare Rate
AdventHealth Daytona Beach $302.17
AdventHealth Deland $302.17
AdventHealth Fish Memorial $302.17
AdventHealth New Smyrna Beach $302.17
AdventHealth Palm Coast $302.17
AdventHealth Palm Coast Parkway $302.17

Median of all 18 published Simply Healthcare rates for ER Visit at these hospitals: $461.88

Rates shown are Simply Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Simply 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 Simply Healthcare Negotiated Rates

A negotiated rate is the price Simply 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 Simply 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 ER Visit in Daytona Beach-Deltona

View all ER Visit prices in Daytona Beach-Deltona (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Simply Healthcare ER Visit in Daytona Beach-Deltona?

The lowest Simply Healthcare negotiated rate for ER Visit in Daytona Beach-Deltona is $302.17 at AdventHealth Daytona Beach, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $659.21 at AdventHealth Palm Coast Parkway, a 2x difference. Commercial plan rates typically fall between these extremes.

Is the Simply Healthcare negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Simply 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 Simply Healthcare for a pre-service cost estimate specific to your plan.

How many Daytona Beach-Deltona hospitals have published Simply Healthcare rates?

6 hospitals in the Daytona Beach-Deltona area have published Simply Healthcare 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 Simply Healthcare directly.

Will Simply Healthcare cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Simply Healthcare 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 Simply 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 Simply 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.