CarePlus Health Plans ER Visit Rates in Miami-Fort Lauderdale-West Palm Beach
Published CarePlus Health Plans negotiated rates for ER Visit at 7 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
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
$20.05
Holy Cross Hospital
all plan types
Highest Rate
$2,982
Jackson West Medical Center
all plan types
Rate Spread
149x
across all plan types
Hospitals
7
with CarePlus Health Plans data
CarePlus Health Plans ER visit rates in the Miami-Fort Lauderdale-West Palm Beach area span a 149x gap, from $20.05 at Holy Cross Hospital to $2,982 at Jackson West Medical Center. The lowest rate belongs to a Medicare Advantage plan, which often prices below commercial products. Across 7 hospitals, the median negotiated rate is $1,320.
CarePlus Health Plans ER Visit Rates by Hospital
| Hospital | Lowest CarePlus Health Plans Rate |
|---|---|
| Holy Cross Hospital | $20.05 |
| Lakeside Medical Center | $277.94 |
| Mount Sinai Medical Center | $500 |
| Jackson Memorial Hospital | $1,320 |
| Jackson North Medical Center | $1,320 |
| Jackson South Medical Center | $1,320 |
| Jackson West Medical Center | $1,320 |
Median of all 133 published CarePlus Health Plans rates for ER Visit at these hospitals: $1,320
Rates shown are CarePlus Health Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all CarePlus 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.
Reading CarePlus Health Plans ER Visit Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami ER visit rates start for CarePlus. Among the 7 hospitals with CarePlus Health Plans rates, Holy Cross Hospital shows the lowest at $20.05, followed by Lakeside Medical Center at $277.94 and Mount Sinai Medical Center at $500. At the other end, Jackson Memorial Hospital, Jackson North Medical Center and Jackson South Medical Center each list a high of $2,982, the same figure shown for Jackson West Medical Center.
How far CarePlus ER visit rates spread in Miami. The page shows a spread of 149x between the lowest and highest rates, and the median of all 133 published CarePlus Health Plans rates for this procedure at these hospitals is $1,320. The plan types beside the lowest rates are labeled Medicare Advantage, so the low end likely reflects those plans rather than commercial plans.
Questions to ask before an ER visit at a Miami hospital. These rates are facility rates, and professional fees are billed separately. A member can ask:
- CarePlus for their own plan's negotiated rate and estimated cost share at a named hospital
- CarePlus whether that hospital is in network for their plan
- The hospital for an estimate
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding CarePlus Health Plans Negotiated Rates
A negotiated rate is the price CarePlus 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 CarePlus 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 Miami-Fort Lauderdale-West Palm Beach
Frequently Asked Questions
Where is the lowest-cost CarePlus Health Plans ER Visit in Miami-Fort Lauderdale-West Palm Beach?
The lowest CarePlus Health Plans negotiated rate for ER Visit in Miami-Fort Lauderdale-West Palm Beach is $20.05 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,982 at Jackson West Medical Center, a 149x difference. Commercial plan rates typically fall between these extremes.
Is the CarePlus Health Plans negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what CarePlus 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 CarePlus Health Plans for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published CarePlus Health Plans rates?
7 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published CarePlus 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 CarePlus Health Plans directly.
Will CarePlus Health Plans cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. CarePlus 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 CarePlus 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 CarePlus 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.