AmeriHealth Caritas ER Visit Rates in Miami-Fort Lauderdale-West Palm Beach

Published AmeriHealth Caritas negotiated rates for ER Visit at 21 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$14.71

Holy Cross Hospital

all plan types

Highest Rate

$4,174.80

Jackson West Medical Center

all plan types

Rate Spread

284x

across all plan types

Hospitals

21

with AmeriHealth Caritas data

AmeriHealth Caritas ER visit rates across Miami-Fort Lauderdale-West Palm Beach span 213x, from $14.71 at Holy Cross Hospital to $3,126 at HCA Florida Woodmont Hospital. The median across 21 hospitals is $816.30. The lowest figures often reflect Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: AmeriHealth Caritas 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.

AmeriHealth Caritas ER Visit Rates by Hospital

Hospital Lowest AmeriHealth Caritas Rate
Holy Cross Hospital $14.71
Baptist Hospital of Miami $816.30
Bethesda Hospital East $816.30
Doctors Hospital $816.30
Homestead Hospital $816.30
South Miami Hospital $816.30
West Kendall Baptist Hospital $816.30
HCA Florida Aventura Hospital $1,750
HCA Florida JFK Hospital $1,750
HCA Florida JFK North Hospital $1,750
HCA Florida Kendall Hospital $1,750
HCA Florida Mercy Hospital $1,750
HCA Florida Northwest Hospital $1,750
HCA Florida Palms West Hospital $1,750
HCA Florida University Hospital $1,750
HCA Florida Westside Hospital $1,750
HCA Florida Woodmont Hospital $1,750
Jackson Memorial Hospital $1,848
Jackson North Medical Center $1,848
Jackson South Medical Center $1,848
Jackson West Medical Center $1,848

Median of all 212 published AmeriHealth Caritas rates for ER Visit at these hospitals: $1,848

Rates shown are AmeriHealth Caritas's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all AmeriHealth Caritas 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 AmeriHealth Caritas ER Visit Rates in Miami-Fort Lauderdale-West Palm Beach

Where Miami ER visit rates sit low and high for AmeriHealth Caritas. The lowest published rate is $14.71 at Holy Cross Hospital. Next come Jackson Memorial Hospital, Jackson North Medical Center and Jackson South Medical Center, each with a lowest rate of $399.09. At the top, HCA Florida Woodmont Hospital shows $3,126, and HCA Florida Aventura Hospital and HCA Florida JFK Hospital also list lowest rates of $1,750.

How far the Miami ER visit spread runs. Across 21 hospitals the spread shown is 213x, and the median of all 212 published rates is $816.30. The plan type beside the lowest rate at Holy Cross Hospital is MEDICAID, so the low end likely reflects Medicaid plans rather than commercial plans. Other rates carry labels such as exchange or HIX plan names, and a published rate does not always tell you which plan applies to you.

What to ask about an AmeriHealth Caritas ER visit in Miami. These are facility rates, and professional fees are billed separately.

  • Ask AmeriHealth Caritas for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask whether that hospital is in network for your plan.
  • Ask the hospital for an estimate.

Written from the rates in the table above. General information, not medical or insurance advice.

Understanding AmeriHealth Caritas Negotiated Rates

A negotiated rate is the price AmeriHealth Caritas 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 AmeriHealth Caritas 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 Miami-Fort Lauderdale-West Palm Beach

View all ER Visit prices in Miami-Fort Lauderdale-West Palm Beach (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost AmeriHealth Caritas ER Visit in Miami-Fort Lauderdale-West Palm Beach?

The lowest AmeriHealth Caritas negotiated rate for ER Visit in Miami-Fort Lauderdale-West Palm Beach is $14.71 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,174.80 at Jackson West Medical Center, a 284x difference. Commercial plan rates typically fall between these extremes.

Is the AmeriHealth Caritas negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what AmeriHealth Caritas 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 AmeriHealth Caritas for a pre-service cost estimate specific to your plan.

How many Miami-Fort Lauderdale-West Palm Beach hospitals have published AmeriHealth Caritas rates?

21 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published AmeriHealth Caritas 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 AmeriHealth Caritas directly.

Will AmeriHealth Caritas cover an out-of-network ER visit?

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