Sunshine Health ER Visit Rates in Sarasota-Bradenton
Published Sunshine Health negotiated rates for ER Visit at 4 hospitals in Sarasota-Bradenton, FL. Data from CMS-mandated hospital transparency files.
If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Do not delay emergency care based on cost.
Lowest Rate
$56.56
Sarasota Memorial Hospital
all plan types
Highest Rate
$1,535
HCA Florida Sarasota Doctors Hospital
all plan types
Rate Spread
27x
across all plan types
Hospitals
4
with Sunshine Health data
Sunshine Health's negotiated ER visit rates in Sarasota-Bradenton span a 27x range, from $56.56 at Sarasota Memorial Hospital to $1,535 at HCA Florida Sarasota Doctors Hospital. The lowest figure reflects a Medicaid HMO plan, and Medicaid rates typically run well below commercial ones. Across the four hospitals listed, the median rate is $1,535.
Sunshine Health ER Visit Rates by Hospital
| Hospital | Lowest Sunshine Health Rate |
|---|---|
| Sarasota Memorial Hospital | $56.56 |
| HCA Florida Blake Hospital | $1,535 |
| HCA Florida Englewood Hospital | $1,535 |
| HCA Florida Sarasota Doctors Hospital | $1,535 |
Median of all 51 published Sunshine Health rates for ER Visit at these hospitals: $1,535
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 ER Visit Rates in Sarasota-Bradenton
Where Sarasota ER visit rates sit for Sunshine Health. Among the 4 hospitals with published Sunshine Health rates, Sarasota Memorial Hospital has the lowest at $56.56. HCA Florida Blake Hospital, HCA Florida Englewood Hospital and HCA Florida Sarasota Doctors Hospital each show $1,535 as their lowest rate, and HCA Florida Sarasota Doctors Hospital also has the highest at $1,535.
What the 27x spread and the plan types tell you. The spread from lowest to highest is 27x, and the median of all 51 published rates is $1,535. The lowest rate at Sarasota Memorial Hospital is tied to a Medicaid HMO plan, so the low end likely reflects that kind of plan rather than commercial plans. The $1,535 rates at the HCA Florida hospitals are listed under QHP plans.
Questions to bring to Sunshine Health and the hospital. These are facility rates, and professional fees are billed separately.
- Ask Sunshine Health for your own plan's negotiated rate and estimated cost share for an ER visit at a named hospital.
- Ask Sunshine Health whether that hospital is in network for your plan.
- Ask the hospital for an estimate.
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 ER Visit in Sarasota-Bradenton
Frequently Asked Questions
Where is the lowest-cost Sunshine Health ER Visit in Sarasota-Bradenton?
The lowest Sunshine Health negotiated rate for ER Visit in Sarasota-Bradenton is $56.56 at Sarasota Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,535 at HCA Florida Sarasota Doctors Hospital, a 27x 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 Sarasota-Bradenton hospitals have published Sunshine Health rates?
4 hospitals in the Sarasota-Bradenton area have published Sunshine Health negotiated rates for ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Sunshine Health directly.
Will Sunshine Health cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Sunshine Health cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.
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.