Simply Healthcare Ultrasound Rates in Miami-Fort Lauderdale-West Palm Beach

Published Simply Healthcare negotiated rates for Ultrasound at 17 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$98.25

Mount Sinai Medical Center

all plan types

Highest Rate

$734.01

HCA Florida Woodmont Hospital

all plan types

Rate Spread

7x

across all plan types

Hospitals

17

with Simply Healthcare data

Simply Healthcare ultrasound rates in the Miami-Fort Lauderdale-West Palm Beach area span an 8x range, from $94.98 at Jackson Memorial Hospital to $734.01 at HCA Florida Woodmont Hospital. Across 17 hospitals, the median negotiated rate is $105. The lowest rates are often tied to Medicaid or Medicare plans rather than commercial coverage.

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 Ultrasound Rates by Hospital

Hospital Lowest Simply Healthcare Rate
Mount Sinai Medical Center $98.25
Jackson Memorial Hospital $105
Jackson North Medical Center $105
Jackson South Medical Center $105
Jackson West Medical Center $105
Lakeside Medical Center $106.74
Holy Cross Hospital $109.13
HCA Florida Mercy Hospital $273.91
HCA Florida Westside Hospital $358.80
HCA Florida Aventura Hospital $409.11
HCA Florida Kendall Hospital $427.05
HCA Florida University Hospital $517.66
HCA Florida Palms West Hospital $624.78
HCA Florida Northwest Hospital $649.09
HCA Florida JFK Hospital $696.80
HCA Florida JFK North Hospital $696.80
HCA Florida Woodmont Hospital $697.22

Median of all 190 published Simply Healthcare rates for Ultrasound at these hospitals: $562.90

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 Miami-Fort Lauderdale-West Palm Beach

Where Miami ultrasound rates start with Simply Healthcare. The lowest published rate is $94.98, listed at Jackson Memorial Hospital, Jackson North Medical Center and Jackson South Medical Center, with Jackson West Medical Center at the same figure. At the other end, HCA Florida Woodmont Hospital shows $734.01, the highest rate on the page. HCA Florida JFK Hospital and HCA Florida JFK North Hospital each list a lowest rate of $696.80.

How wide the Miami ultrasound spread runs, and what the plan types suggest. The rates span 8x from lowest to highest, and the median of all 190 published rates is $105. The plan types beside the lowest rates read as Medicare or Medicare Advantage plans, such as SIMPLY HLTH MCR and Simply Healthcare Medicare, so the low end likely reflects those plans rather than commercial plans. Plans labeled MGMCR sit beside most of the higher rates.

Questions to bring about a Simply Healthcare ultrasound in Miami. These are facility rates, and professional fees are billed separately. Members can ask:

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

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 Miami-Fort Lauderdale-West Palm Beach

View all Ultrasound prices in Miami-Fort Lauderdale-West Palm Beach (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Simply Healthcare Ultrasound in Miami-Fort Lauderdale-West Palm Beach?

The lowest Simply Healthcare negotiated rate for Ultrasound in Miami-Fort Lauderdale-West Palm Beach is $98.25 at Mount Sinai Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $734.01 at HCA Florida Woodmont Hospital, a 7x 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 Miami-Fort Lauderdale-West Palm Beach hospitals have published Simply Healthcare rates?

17 hospitals in the Miami-Fort Lauderdale-West Palm Beach 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.