Simply Healthcare Ultrasound Rates in Pensacola
Published Simply Healthcare negotiated rates for Ultrasound at 4 hospitals in Pensacola, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$111.60
Santa Rosa Medical Center
all plan types
Highest Rate
$691.91
HCA Florida West Hospital
all plan types
Rate Spread
6x
across all plan types
Hospitals
4
with Simply Healthcare data
Simply Healthcare's negotiated ultrasound rates in Pensacola span a 6x gap, from $111.60 at Santa Rosa Medical Center to $691.91 at HCA Florida West Hospital. The median across the four hospitals is $121.90. The lowest rate applies to Simply Medicaid FL, and Medicaid or Medicare rates often run below commercial plans.
Simply Healthcare Ultrasound Rates by Hospital
| Hospital | Lowest Simply Healthcare Rate |
|---|---|
| Santa Rosa Medical Center | $111.60 |
| Baptist Hospital (Pensacola) | $121.90 |
| Gulf Breeze Hospital | $121.90 |
| HCA Florida West Hospital | $374.42 |
Median of all 24 published Simply Healthcare rates for Ultrasound at these hospitals: $121.90
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 Pensacola
Where Pensacola ultrasound rates start for Simply Healthcare. Among the 4 hospitals listed, the lowest published rate is $111.60 at Santa Rosa Medical Center. Baptist Hospital (Pensacola) and Gulf Breeze Hospital each show $121.90. At the other end, HCA Florida West Hospital shows $691.91 as its highest rate, with its lowest at $374.42.
How wide the Pensacola ultrasound spread runs, and what the plan types suggest. The spread across these rates is 6x, and the median of all 24 published Simply Healthcare rates for this procedure at these hospitals is $121.90. The lowest rate at Santa Rosa Medical Center is tied to Simply Medicaid FL, so the low end likely reflects Medicaid plans rather than commercial plans. HCA Florida West Hospital's lowest rate lists MGMCR, which may be a Medicare Advantage label. The plan behind a rate is not always clear from the listing.
Questions to bring about a Simply Healthcare ultrasound in Pensacola. These are facility rates, and professional fees are billed separately. Before scheduling, a member can ask:
- Simply Healthcare: what is my own plan's negotiated rate and estimated cost share at a named hospital, such as Gulf Breeze Hospital?
- Simply Healthcare: is that hospital in network for my plan?
- The hospital: can I get an estimate for my 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 Pensacola
Frequently Asked Questions
Where is the lowest-cost Simply Healthcare Ultrasound in Pensacola?
The lowest Simply Healthcare negotiated rate for Ultrasound in Pensacola is $111.60 at Santa Rosa Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $691.91 at HCA Florida West Hospital, a 6x 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 Pensacola hospitals have published Simply Healthcare rates?
4 hospitals in the Pensacola 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.