Sunshine Health Ultrasound Rates in Orlando

Published Sunshine Health negotiated rates for Ultrasound at 8 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.

Limited coverage: Orlando Health's Orlando-area hospitals, including Orlando Regional Medical Center, are not included: Orlando Health's website blocked downloads of its price files when we collected this data. Prices for the Orlando area come only from the AdventHealth, HCA Florida, UF Health and Nemours hospitals listed here, so they may not reflect the whole Orlando market.

Lowest Rate

$129.84

UF Health Leesburg Hospital

all plan types

Highest Rate

$1,569.14

HCA Florida Lake Monroe Hospital

all plan types

Rate Spread

12x

across all plan types

Hospitals

8

with Sunshine Health data

Sunshine Health's negotiated ultrasound rates across 8 Orlando-area hospitals span a 12x range, from $129.84 at UF Health Leesburg Hospital to $1,569.14 at HCA Florida Lake Monroe Hospital. The median rate is $1,286.73. The lowest rates may reflect Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: Sunshine Health negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Sunshine Health Ultrasound Rates by Hospital

Hospital Lowest Sunshine Health Rate
UF Health Leesburg Hospital $129.84
UF Health The Villages Hospital $129.84
AdventHealth Orlando $289.31
HCA Florida Poinciana Hospital $1,094.46
UCF Lake Nona Hospital $1,162.21
HCA Florida Oviedo Medical Center $1,182.68
HCA Florida Osceola Hospital $1,286.73
HCA Florida Lake Monroe Hospital $1,300.95

Median of all 30 published Sunshine Health rates for Ultrasound at these hospitals: $1,286.73

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 Orlando

Where Orlando ultrasound rates start and end for Sunshine Health. The lowest published rates are $129.84 at UF Health Leesburg Hospital and UF Health The Villages Hospital, followed by $289.31 at AdventHealth Orlando. At the top, HCA Florida Lake Monroe Hospital reaches $1,569.14, and HCA Florida Osceola Hospital lists $1,571.09 as its highest rate.

How wide the Sunshine Health ultrasound spread runs. Published rates span a 12x spread, and the median of all 30 published rates is $1,286.73. The plan types beside the lowest rates are labeled ALL PRODUCTS and Ambetter Exchange, not Medicaid, CHIP or Medicare Advantage, so the plan behind a rate is not always clear from the label. Most higher rates in the table are tagged QHP.

What to ask about an Orlando ultrasound with Sunshine Health. These are facility rates, and professional fees are billed separately. 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 the 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 Orlando

View all Ultrasound prices in Orlando (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Sunshine Health Ultrasound in Orlando?

The lowest Sunshine Health negotiated rate for Ultrasound in Orlando is $129.84 at UF Health Leesburg Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,569.14 at HCA Florida Lake Monroe Hospital, a 12x 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 Orlando hospitals have published Sunshine Health rates?

8 hospitals in the Orlando 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.