Simply Healthcare Lab Work Rates in Lakeland-Winter Haven

Published Simply Healthcare negotiated rates for Lab Work at 4 hospitals in Lakeland-Winter Haven, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$11.19

AdventHealth Heart of Florida

all plan types

Highest Rate

$108.18

Winter Haven Hospital

all plan types

Rate Spread

10x

across all plan types

Hospitals

4

with Simply Healthcare data

Simply Healthcare's negotiated lab-work rates in Lakeland-Winter Haven range from $11.19 at AdventHealth Heart of Florida to $108.18 at Winter Haven Hospital, a roughly 10x spread across four hospitals. The $11.19 rate applies to a Medicare Managed Care HMO plan, and lowest rates often reflect Medicaid or Medicare rather than commercial coverage. The median rate is $108.18.

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 Lab Work Rates by Hospital

Hospital Lowest Simply Healthcare Rate
AdventHealth Heart of Florida $11.19
AdventHealth Lake Wales $11.19
Bartow Regional Medical Center $37.44
Winter Haven Hospital $37.44

Median of all 10 published Simply Healthcare rates for Lab Work at these hospitals: $108.18

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 Lab Work Rates in Lakeland-Winter Haven

Where Lakeland lab work rates begin and end for Simply Healthcare. Among the 4 hospitals with published rates, AdventHealth Heart of Florida and AdventHealth Lake Wales share the lowest at $11.19. Bartow Regional Medical Center and Winter Haven Hospital list a low of $37.44. At the top, Winter Haven Hospital and Bartow Regional Medical Center both reach $108.18.

The Lakeland spread and what the plan types hint at. The page shows a 10x spread, and the median of all 10 published rates is $108.18. The plan types beside the lowest rates are Medicare Managed Care HMO and Medicare HMO, so the low end likely reflects Medicare Advantage plans rather than commercial plans. A rate you see may not match the plan you carry.

Questions to bring about Simply Healthcare lab work near Lakeland. These are facility rates, and professional fees are billed separately. You can ask:

  • Simply Healthcare: what is the negotiated rate and estimated cost share for my plan at a named hospital?
  • Simply Healthcare: is that hospital in network for my plan?
  • The hospital: can I get an estimate for my lab work?

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 Lab Work in Lakeland-Winter Haven

View all Lab Work prices in Lakeland-Winter Haven (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Simply Healthcare Lab Work in Lakeland-Winter Haven?

The lowest Simply Healthcare negotiated rate for Lab Work in Lakeland-Winter Haven is $11.19 at AdventHealth Heart of Florida, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $108.18 at Winter Haven Hospital, a 10x 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 Lab Work in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Simply Healthcare directly.

Can I get lab work done at a cheaper location with Simply Healthcare?

Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your Simply Healthcare plan covers independent labs like Quest or Labcorp, you may pay significantly less out of pocket. The rates on this page reflect hospital-based pricing only.

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.