Sunshine Health Ultrasound Rates in Miami-Fort Lauderdale-West Palm Beach
Published Sunshine Health negotiated rates for Ultrasound at 28 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$104.70
Bethesda Hospital East
all plan types
Highest Rate
$1,490.61
HCA Florida Woodmont Hospital
all plan types
Rate Spread
14x
across all plan types
Hospitals
28
with Sunshine Health data
Sunshine Health's negotiated ultrasound rates across 28 Miami-Fort Lauderdale-West Palm Beach hospitals span 14x, from $104.70 at Bethesda Hospital East to $1,490.61 at HCA Florida Woodmont Hospital. The median rate is $109.18, close to the low end of the range. Lowest rates often reflect Medicaid or Medicare plan types rather than commercial contracts.
Sunshine Health Ultrasound Rates by Hospital
Median of all 276 published Sunshine Health rates for Ultrasound at these hospitals: $207.42
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 Ultrasound Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami ultrasound rates start for Sunshine Health. The lowest published rate is $104.70 at Bethesda Hospital East, followed by Jackson Memorial Hospital and Jackson North Medical Center at $105 each. At the other end, HCA Florida Woodmont Hospital shows $1,490.61 as its highest rate, and HCA Florida JFK Hospital has a lowest rate of $1,393.60.
How wide the Sunshine Health ultrasound spread runs. Across 28 hospitals the spread is 14x, while the median of all 276 published rates is $109.18. The plan types beside the lowest rates read like Medicaid plans, such as SUNSHINE MCAID and Sunshine Medicaid, so the low end likely reflects those plans rather than commercial plans. Many higher rates are listed under QHP, a marketplace plan type.
What to ask about a Miami ultrasound. These are facility rates, and professional fees are billed separately. A few questions to bring:
- Ask Sunshine Health for your own plan's negotiated rate and estimated cost share at a named hospital.
- Ask Sunshine Health whether that hospital is in network for your plan.
- Ask the hospital for an estimate before your visit.
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 Ultrasound in Miami-Fort Lauderdale-West Palm Beach
Frequently Asked Questions
Where is the lowest-cost Sunshine Health Ultrasound in Miami-Fort Lauderdale-West Palm Beach?
The lowest Sunshine Health negotiated rate for Ultrasound in Miami-Fort Lauderdale-West Palm Beach is $104.70 at Bethesda Hospital East, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,490.61 at HCA Florida Woodmont Hospital, a 14x 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 Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Sunshine Health directly.
Are prenatal ultrasounds covered differently by Sunshine Health?
Sunshine Health 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 Sunshine Health plan documents for specifics on ultrasound coverage.
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.