Ultimate Health Plans ER Visit Rates in Tampa-St. Petersburg

Published Ultimate Health Plans negotiated rates for ER Visit at 8 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.

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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

$299.32

Tampa General Hospital

all plan types

Highest Rate

$1,983

St. Joseph's Hospital

all plan types

Rate Spread

across all plan types

Hospitals

with Ultimate Health Plans data

Ultimate Health Plans' negotiated ER visit rates in Tampa-St. Petersburg span roughly 7x across 8 hospitals, from $299.32 at Tampa General Hospital to $1,983 at St. Joseph's Hospital. The median rate is $1,368.30. The lowest figure reflects a Medicare Managed Care Plan, and Medicaid and Medicare rates often run below commercial ones.

Why the range is so wide: Ultimate Health Plans 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.

Ultimate Health Plans ER Visit Rates by Hospital

Hospital	Lowest Ultimate Health Plans Rate	Plan Type	Highest Rate	Plans
Tampa General Hospital	$299.32	Medicare Managed Care Plan	$653	3
BayCare Hospital Wesley Chapel	$832.80	Medicare HMO	$1,983	3
Mease Countryside Hospital	$832.80	Medicare HMO	$1,983	6
Mease Dunedin Hospital	$832.80	Medicare HMO	$1,983	3
Morton Plant Hospital	$832.80	Medicare HMO	$1,983	9
Morton Plant North Bay Hospital	$832.80	Medicare HMO	$1,983	3
South Florida Baptist Hospital	$832.80	Medicare HMO	$1,983	3
St. Joseph's Hospital	$832.80	Medicare HMO	$1,983	6

Median of all 36 published Ultimate Health Plans rates for ER Visit at these hospitals: $1,368.30

Rates shown are Ultimate Health Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Ultimate Health Plans 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.

Understanding Ultimate Health Plans Negotiated Rates

A negotiated rate is the price Ultimate Health Plans 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 Ultimate Health Plans 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

Aetna $277.93 - $6,621.31 27 hospitals Simply Healthcare $299.32 - $2,150 27 hospitals Florida Blue $277.93 - $5,739 26 hospitals Cigna $277.93 - $4,670 26 hospitals Oscar Health $356.33 - $3,890 20 hospitals Sunshine Health $431.64 - $1,535 20 hospitals

View all ER Visit prices in Tampa-St. Petersburg (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Ultimate Health Plans ER Visit in Tampa-St. Petersburg?

The lowest Ultimate Health Plans negotiated rate for ER Visit in Tampa-St. Petersburg is $299.32 at Tampa General Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,983 at St. Joseph's Hospital, a 7x difference. Commercial plan rates typically fall between these extremes.

Is the Ultimate Health Plans negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Ultimate Health Plans 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 Ultimate Health Plans for a pre-service cost estimate specific to your plan.

How many Tampa-St. Petersburg hospitals have published Ultimate Health Plans rates?

8 hospitals in the Tampa-St. Petersburg area have published Ultimate Health Plans 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 Ultimate Health Plans directly.

Will Ultimate Health Plans cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Ultimate Health Plans 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 Ultimate Health Plans 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 Ultimate Health Plans or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.