Simply Healthcare Ultrasound Rates in Lakeland-Winter Haven
Published Simply Healthcare negotiated rates for Ultrasound at 4 hospitals in Lakeland-Winter Haven, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$13.86
Winter Haven Hospital
all plan types
Highest Rate
$115.73
AdventHealth Lake Wales
all plan types
Rate Spread
8x
across all plan types
Hospitals
4
with Simply Healthcare data
Simply Healthcare ultrasound rates in Lakeland-Winter Haven range from $13.86 at Winter Haven Hospital to $115.73 at AdventHealth Lake Wales, an 8x spread across four hospitals. The $13.86 rate applies to a Medicare HMO plan, and lower rates at some facilities often reflect Medicaid or Medicare products rather than commercial ones. The median negotiated rate is $115.73.
Simply Healthcare Ultrasound Rates by Hospital
| Hospital | Lowest Simply Healthcare Rate |
|---|---|
| Winter Haven Hospital | $13.86 |
| Bartow Regional Medical Center | $110.54 |
| AdventHealth Heart of Florida | $115.73 |
| AdventHealth Lake Wales | $115.73 |
Median of all 18 published Simply Healthcare rates for Ultrasound at these hospitals: $115.73
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 Ultrasound Rates in Lakeland-Winter Haven
Where Lakeland ultrasound rates start with Simply Healthcare. Across the 4 hospitals with published rates, Winter Haven Hospital shows the lowest at $13.86, followed by Bartow Regional Medical Center at $110.54. AdventHealth Heart of Florida and AdventHealth Lake Wales both list $115.73 as their lowest. At the top end, Winter Haven Hospital and Bartow Regional Medical Center each reach $365.40.
How wide the Lakeland ultrasound spread runs. The page shows an 8x spread, and the median of all 18 published rates is $115.73. The lowest rates sit beside Medicare HMO, Medicaid HMO and Medicare Managed Care plan types, so the low end likely reflects those plans rather than commercial plans.
Questions to bring about a Simply Healthcare ultrasound near Lakeland. These are facility rates, and professional fees are billed separately. A member can ask:
- Simply Healthcare: what is my own plan's negotiated rate and estimated cost share at a named hospital, such as Winter Haven Hospital?
- Simply Healthcare: is that hospital in network for my plan?
- The hospital: can I get an estimate for my visit?
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 Ultrasound in Lakeland-Winter Haven
Frequently Asked Questions
Where is the lowest-cost Simply Healthcare Ultrasound in Lakeland-Winter Haven?
The lowest Simply Healthcare negotiated rate for Ultrasound in Lakeland-Winter Haven is $13.86 at Winter Haven Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $115.73 at AdventHealth Lake Wales, an 8x 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 Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Simply Healthcare directly.
Are prenatal ultrasounds covered differently by Simply Healthcare?
Simply Healthcare plans often apply different cost-sharing rules for prenatal ultrasounds compared to diagnostic ultrasounds. Some may be covered under maternity benefits with different deductible and copay structures. Check your Simply Healthcare plan documents for specifics on ultrasound coverage.
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.