Simply Healthcare ER Visit Rates in Lakeland-Winter Haven
Published Simply Healthcare negotiated rates for ER Visit at 4 hospitals in Lakeland-Winter Haven, 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
$30.78
Winter Haven Hospital
all plan types
Highest Rate
$1,189.80
Bartow Regional Medical Center
all plan types
Rate Spread
39x
across all plan types
Hospitals
4
with Simply Healthcare data
Simply Healthcare's negotiated ER visit rates in Lakeland-Winter Haven span a 39x range, from $30.78 at Winter Haven Hospital to $1,189.80 at Bartow Regional Medical Center. The median across the four hospitals is $461.88. The lowest rate applies to a Medicare HMO plan, and rates under government-funded plans often run lower than commercial ones.
Simply Healthcare ER Visit Rates by Hospital
| Hospital | Lowest Simply Healthcare Rate |
|---|---|
| Winter Haven Hospital | $30.78 |
| AdventHealth Heart of Florida | $302.17 |
| AdventHealth Lake Wales | $302.17 |
| Bartow Regional Medical Center | $499.68 |
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.
Reading Simply Healthcare ER Visit Rates in Lakeland-Winter Haven
Where Lakeland ER visit rates start for Simply Healthcare. Among the 4 hospitals with published rates, Winter Haven Hospital lists the lowest at $30.78. AdventHealth Heart of Florida and AdventHealth Lake Wales each start at $302.17, and Bartow Regional Medical Center starts at $499.68. At the top, Winter Haven Hospital and Bartow Regional Medical Center both reach $1,189.80, while the two AdventHealth locations top out at $659.21.
How wide the Simply Healthcare ER spread runs in Lakeland. The page shows a 39x spread, and the median of all 18 published rates is $461.88. The plan types beside the lowest rates are Medicare HMO and Medicare managed care plans, so the low end likely reflects those Medicare Advantage plans rather than commercial plans. A rate on this page may not match the plan a member actually holds.
Questions to bring about a Simply Healthcare ER visit near Lakeland.
- Ask Simply Healthcare for the negotiated rate and estimated cost share under your own plan at a named hospital, such as Winter Haven Hospital.
- Ask whether that hospital is in network for your plan.
- Ask the hospital for an estimate.
These are facility rates, and professional fees are billed separately.
Written from the rates in the table above. General information, not medical or insurance advice.
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 Lakeland-Winter Haven
Frequently Asked Questions
Where is the lowest-cost Simply Healthcare ER Visit in Lakeland-Winter Haven?
The lowest Simply Healthcare negotiated rate for ER Visit in Lakeland-Winter Haven is $30.78 at Winter Haven Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,189.80 at Bartow Regional Medical Center, a 39x 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 Lakeland-Winter Haven hospitals have published Simply Healthcare rates?
4 hospitals in the Lakeland-Winter Haven 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.