Sunshine Health Ultrasound Rates in Pensacola
Published Sunshine Health negotiated rates for Ultrasound at 4 hospitals in Pensacola, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$111.30
Baptist Hospital (Pensacola)
all plan types
Highest Rate
$1,145.70
HCA Florida West Hospital
all plan types
Rate Spread
10x
across all plan types
Hospitals
4
with Sunshine Health data
Sunshine Health's negotiated ultrasound rates in Pensacola span a 10x range, from $111.30 at Baptist Hospital to $1,145.70 at HCA Florida West Hospital. The median across the four hospitals is $115.81. The lowest rate applies to a Medicaid HMO plan, and Medicaid rates typically run below commercial ones.
Sunshine Health Ultrasound Rates by Hospital
| Hospital | Lowest Sunshine Health Rate |
|---|---|
| Baptist Hospital (Pensacola) | $111.30 |
| Gulf Breeze Hospital | $111.30 |
| Santa Rosa Medical Center | $115.81 |
| HCA Florida West Hospital | $619.98 |
Median of all 30 published Sunshine Health rates for Ultrasound at these hospitals: $115.81
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 Pensacola
Where Pensacola ultrasound rates start and end for Sunshine Health. Among the 4 hospitals with published Sunshine Health rates, the lowest figure is $111.30, listed at both Baptist Hospital (Pensacola) and Gulf Breeze Hospital. Santa Rosa Medical Center follows with a lowest rate of $115.81. At the high end, HCA Florida West Hospital lists $1,145.70, and its lowest rate is $619.98.
How wide the ultrasound spread runs. The page shows a 10x spread between the lowest and highest rates. The median of all 30 published rates is $115.81. The plan types beside the lowest rates are CAID HMO and SUNSHINE HEALTH MEDICAID FL, so the low end likely reflects Medicaid plans rather than commercial plans. The plan behind any single rate may not match yours.
What to ask Sunshine Health and the hospital about an ultrasound. These are facility rates, and professional fees are billed separately. Members can ask:
- Sunshine Health: what is my own plan's negotiated rate and estimated cost share at a named hospital?
- Sunshine Health: is that hospital in network for my plan?
- The hospital: can I get an estimate for my ultrasound?
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 Pensacola
Frequently Asked Questions
Where is the lowest-cost Sunshine Health Ultrasound in Pensacola?
The lowest Sunshine Health negotiated rate for Ultrasound in Pensacola is $111.30 at Baptist Hospital (Pensacola), across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,145.70 at HCA Florida West Hospital, a 10x 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 Pensacola hospitals have published Sunshine Health rates?
4 hospitals in the Pensacola 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.