Sunshine Health CT Scan Rates in Miami-Fort Lauderdale-West Palm Beach
Published Sunshine Health negotiated rates for CT Scan at 28 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$203.32
Bethesda Hospital East
all plan types
Highest Rate
$10,760
Holy Cross Hospital
all plan types
Rate Spread
53x
across all plan types
Hospitals
28
with Sunshine Health data
Sunshine Health's negotiated CT scan rates across 28 Miami-Fort Lauderdale-West Palm Beach hospitals span a 53x range, from $203.32 at Bethesda Hospital East to $10,760 at Holy Cross Hospital. The median rate is $249.17. Lower rates often reflect Medicaid or Medicare plan types rather than commercial coverage.
Sunshine Health CT Scan Rates by Hospital
Median of all 280 published Sunshine Health rates for CT Scan at these hospitals: $336.38
Rates shown are Sunshine Health's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Sunshine Health 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 Sunshine Health CT Scan Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami CT scan rates start and end for Sunshine Health. The lowest published rate is $203.32 at Bethesda Hospital East, followed by Jackson Memorial Hospital and Jackson North Medical Center at $204.10 each. At the other end, Holy Cross Hospital shows $10,760, with HCA Florida JFK Hospital and HCA Florida JFK North Hospital at $8,581.30 for their lowest rates.
How wide the Sunshine Health CT scan spread runs around Miami. Across 28 hospitals, the spread is 53x, and the median of all 280 published rates is $249.17. Many of the lowest rates sit beside plan types that look like Medicaid plans, so the low end likely reflects those plans rather than commercial plans. The plan behind a rate in the higher range is often listed as QHP, which is not always the plan a member holds.
What to ask about a Miami CT scan with Sunshine Health. These are facility rates, and professional fees such as the radiologist's reading are billed separately. A member can ask:
- Sunshine Health: the negotiated rate and estimated cost share for their own plan at a named hospital, and whether that hospital is in network for their plan.
- The hospital: an estimate for the scan before scheduling.
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding Sunshine Health Negotiated Rates
A negotiated rate is the price Sunshine Health 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 Sunshine Health 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 CT Scan in Miami-Fort Lauderdale-West Palm Beach
Frequently Asked Questions
Where is the lowest-cost Sunshine Health CT Scan in Miami-Fort Lauderdale-West Palm Beach?
The lowest Sunshine Health negotiated rate for CT Scan in Miami-Fort Lauderdale-West Palm Beach is $203.32 at Bethesda Hospital East, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $10,760 at Holy Cross Hospital, a 53x difference. Commercial plan rates typically fall between these extremes.
Is the Sunshine Health negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Sunshine Health 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 Sunshine Health for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published Sunshine Health rates?
28 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published Sunshine Health negotiated rates for CT Scan in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Sunshine Health directly.
How does Sunshine Health classify CT scan charges?
CT scans may be billed differently depending on how Sunshine Health classifies the visit. Your share of the cost also varies by whether the facility is in-network. Confirm with Sunshine Health how the scan will be billed and what your cost-sharing will be before your appointment.
We are not affiliated with Sunshine Health 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 Sunshine Health or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.