Simply Healthcare ER Visit Rates in Orlando

Published Simply Healthcare negotiated rates for ER Visit at 7 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.

Limited coverage: Orlando Health's Orlando-area hospitals, including Orlando Regional Medical Center, are not included: Orlando Health's website blocked downloads of its price files when we collected this data. Prices for the Orlando area come only from the AdventHealth, HCA Florida, UF Health and Nemours hospitals listed here, so they may not reflect the whole Orlando market.

Lowest Rate

$302.17

AdventHealth Orlando

all plan types

Highest Rate

$2,677

UCF Lake Nona Hospital

all plan types

Rate Spread

9x

across all plan types

Hospitals

7

with Simply Healthcare data

Simply Healthcare's negotiated ER visit rates in Orlando span a 9x range, from $302.17 at AdventHealth Orlando to $2,677 at UCF Lake Nona Hospital. The median across seven hospitals is $2,046. The lowest rate applies to a Medicare Managed Care plan, so it may not reflect commercial pricing.

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 Orlando $302.17
AdventHealth Waterman $302.17
HCA Florida Lake Monroe Hospital $2,046
HCA Florida Osceola Hospital $2,046
HCA Florida Oviedo Medical Center $2,046
HCA Florida Poinciana Hospital $2,046
UCF Lake Nona Hospital $2,046

Median of all 21 published Simply Healthcare rates for ER Visit at these hospitals: $2,046

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 Orlando

Orlando ER visit rates from Simply Healthcare, low to high. The lowest published rate is $302.17, listed at both AdventHealth Orlando and AdventHealth Waterman. At the other end, $2,677 is the highest rate, shown at UCF Lake Nona Hospital, HCA Florida Lake Monroe Hospital, and HCA Florida Osceola Hospital, among others. Seven hospitals have Simply Healthcare rates on this page.

How wide the Simply Healthcare ER spread runs in Orlando. The spread is 9x, and the median of all 21 published rates is $2,046. The plan types beside the lowest rates are Medicare Managed Care plans, so the low end likely reflects those plans rather than commercial plans. The $2,046 rate at the other hospitals is listed under a HIX plan type.

Questions to bring about an ER visit with Simply Healthcare in Orlando. A member can ask:

  • Simply Healthcare for the negotiated rate and estimated cost share under their own plan at a named hospital
  • Simply Healthcare whether that hospital is in network for their plan
  • 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 Orlando

View all ER Visit prices in Orlando (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Simply Healthcare ER Visit in Orlando?

The lowest Simply Healthcare negotiated rate for ER Visit in Orlando is $302.17 at AdventHealth Orlando, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,677 at UCF Lake Nona Hospital, a 9x 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 Orlando hospitals have published Simply Healthcare rates?

7 hospitals in the Orlando 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.