Community Care Plan ER Visit Rates in Miami-Fort Lauderdale-West Palm Beach

Published Community Care Plan negotiated rates for ER Visit at 5 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$14.21

Holy Cross Hospital

all plan types

Highest Rate

$1,618

Memorial Regional Hospital

all plan types

Rate Spread

114x

across all plan types

Hospitals

5

with Community Care Plan data

Community Care Plan's negotiated rates for ER visits in the Miami-Fort Lauderdale-West Palm Beach area span a 114x range, from $14.21 at Holy Cross Hospital to $1,618 at Memorial Regional Hospital. Across the five hospitals listed, the median rate is $1,230, and the lowest figures often reflect Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: Community Care Plan 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.

Community Care Plan ER Visit Rates by Hospital

Hospital Lowest Community Care Plan Rate
Holy Cross Hospital $14.21
Memorial Hospital Miramar $625
Memorial Hospital Pembroke $625
Memorial Hospital West $625
Memorial Regional Hospital $625

Median of all 112 published Community Care Plan rates for ER Visit at these hospitals: $1,230

Rates shown are Community Care Plan's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Community Care Plan 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 Community Care Plan Negotiated Rates

A negotiated rate is the price Community Care Plan 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 Community Care Plan 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 Community Care Plan ER Visit in Miami-Fort Lauderdale-West Palm Beach?

The lowest Community Care Plan negotiated rate for ER Visit in Miami-Fort Lauderdale-West Palm Beach is $14.21 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,618 at Memorial Regional Hospital, an 114x difference. Commercial plan rates typically fall between these extremes.

Is the Community Care Plan negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Community Care Plan 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 Community Care Plan for a pre-service cost estimate specific to your plan.

How many Miami-Fort Lauderdale-West Palm Beach hospitals have published Community Care Plan rates?

5 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published Community Care Plan 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 Community Care Plan directly.

Will Community Care Plan cover an out-of-network ER visit?

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