Sunshine Health ER Visit Rates in Tampa-St. Petersburg
Published Sunshine Health negotiated rates for ER Visit at 20 hospitals in Tampa-St. Petersburg, 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
$431.64
Tampa General Hospital
all plan types
Highest Rate
$1,535
HCA Florida West Tampa Hospital
all plan types
Rate Spread
4x
across all plan types
Hospitals
20
with Sunshine Health data
Sunshine Health's negotiated ER visit rates in Tampa-St. Petersburg span a 4x gap, from $431.64 at Tampa General Hospital (Ambetter Value Exchange) to $1,535 at HCA Florida West Tampa Hospital. The median across 20 hospitals is $1,535, matching the top of the range. Lower rates often reflect Medicaid or Medicare plans rather than commercial coverage.
Sunshine Health ER Visit Rates by Hospital
| Hospital | Lowest Sunshine Health Rate |
|---|---|
| Tampa General Hospital | $431.64 |
| Tampa General Hospital Brooksville | $447.55 |
| AdventHealth Carrollwood | $632.84 |
| AdventHealth Dade City | $632.84 |
| AdventHealth North Pinellas | $632.84 |
| AdventHealth Tampa | $632.84 |
| AdventHealth Wesley Chapel | $632.84 |
| AdventHealth Zephyrhills | $632.84 |
| HCA Florida Bayonet Point Hospital | $1,535 |
| HCA Florida Brandon Hospital | $1,535 |
| HCA Florida Largo Hospital | $1,535 |
| HCA Florida Largo West Hospital | $1,535 |
| HCA Florida Northside Hospital | $1,535 |
| HCA Florida Oak Hill Hospital | $1,535 |
| HCA Florida Pasadena Hospital | $1,535 |
| HCA Florida South Shore Hospital | $1,535 |
| HCA Florida South Tampa Hospital | $1,535 |
| HCA Florida St. Petersburg Hospital | $1,535 |
| HCA Florida Trinity Hospital | $1,535 |
| HCA Florida West Tampa Hospital | $1,535 |
Median of all 207 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 Tampa-St. Petersburg
Where Tampa ER visit rates start and end for Sunshine Health. The lowest published rates are $431.64 at Tampa General Hospital and $447.55 at Tampa General Hospital Brooksville. AdventHealth Carrollwood and several other AdventHealth campuses follow at $632.84. At the top, HCA Florida West Tampa Hospital, HCA Florida Trinity Hospital and HCA Florida St. Petersburg Hospital each show $1,535.
How wide the Sunshine Health ER visit spread runs in Tampa. Across the 20 hospitals the spread is 4x, and the median of all 207 published rates is $1,535. The plan types beside the lowest rates are Ambetter Value Exchange and Ambetter Exchange, and the highest rates are listed under QHP. This page does not show which plan sits behind every rate, so a rate may not match the plan a given member holds.
What to ask about a Tampa ER visit with Sunshine Health. These are facility rates, and professional fees are billed separately. A member can ask:
- Sunshine Health for their own plan's negotiated rate and estimated cost share at a named hospital
- Sunshine Health whether that hospital is in network for their plan
- 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 Tampa-St. Petersburg
Frequently Asked Questions
Where is the lowest-cost Sunshine Health ER Visit in Tampa-St. Petersburg?
The lowest Sunshine Health negotiated rate for ER Visit in Tampa-St. Petersburg is $431.64 at Tampa General Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,535 at HCA Florida West Tampa Hospital, a 4x 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 Tampa-St. Petersburg hospitals have published Sunshine Health rates?
20 hospitals in the Tampa-St. Petersburg 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.