Florida Blue ER Visit Rates in Miami-Fort Lauderdale-West Palm Beach

Published Florida Blue negotiated rates for ER Visit at 25 hospitals in Miami-Fort Lauderdale-West Palm Beach, 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

$14.71

Holy Cross Hospital

all plan types

Highest Rate

$3,599

HCA Florida Woodmont Hospital

all plan types

Rate Spread

245x

across all plan types

Hospitals

with Florida Blue data

Florida Blue's negotiated ER visit rates across 25 Miami-Fort Lauderdale-West Palm Beach hospitals span a 245x range, from $14.71 at Holy Cross Hospital to $3,599 at HCA Florida Woodmont Hospital. The median rate is $1,634. The lowest figures often reflect Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: Florida Blue 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.

Florida Blue ER Visit Rates by Hospital

Hospital	Lowest Florida Blue Rate	Plan Type	Highest Rate	Plans
Holy Cross Hospital	$14.71	MEDICAID	$3,893	1866
Cleveland Clinic Weston Hospital	$51.65	Health Options	$3,732	78
Lakeside Medical Center	$277.94	Medicare Advantage HMO	$1,112	40
Boca Raton Regional Hospital	$279.94	BCBS MEDICARE	$2,280	72
Bethesda Hospital East	$285.06	BCBS MEDICARE PPO	$2,132	96
Mount Sinai Medical Center	$285.06	BCBS Medicare PPO	$3,230.20	18
Baptist Hospital of Miami	$295.04	BCBS MEDICARE PPO	$1,886.98	84
Doctors Hospital	$295.04	BCBS MEDICARE PPO	$1,886.98	84
Homestead Hospital	$295.04	BCBS MEDICARE PPO	$1,886.98	84
South Miami Hospital	$295.04	BCBS MEDICARE PPO	$1,886.98	84
West Kendall Baptist Hospital	$295.04	BCBS MEDICARE PPO	$1,886.98	84
Jackson North Medical Center	$770	BCBS FL BLUE BSL	$2,519	120
Jackson Memorial Hospital	$867	BCBS FL BLUE BSL	$4,481	120
Jackson South Medical Center	$940	BCBS FL BLUE BSL	$2,062	120
Jackson West Medical Center	$940	BCBS FL BLUE BSL	$2,062	120
HCA Florida Mercy Hospital	$1,685	MBN	$2,727	21
HCA Florida Northwest Hospital	$1,685	MBN	$2,727	21
HCA Florida Palms West Hospital	$1,685	MBN	$2,727	21
HCA Florida University Hospital	$1,685	MBN	$2,727	21
HCA Florida Westside Hospital	$1,685	MBN	$2,727	21
HCA Florida Aventura Hospital	$1,989	MBN	$3,599	21
HCA Florida JFK Hospital	$1,989	MBN	$3,599	21
HCA Florida JFK North Hospital	$1,989	MBN	$3,599	21
HCA Florida Kendall Hospital	$1,989	MBN	$3,599	21
HCA Florida Woodmont Hospital	$1,989	MBN	$3,599	21

Median of all 3280 published Florida Blue rates for ER Visit at these hospitals: $1,634

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

Where Miami ER visit rates start and end for Florida Blue. The lowest published rates are $14.71 at Holy Cross Hospital, $51.65 at Cleveland Clinic Weston Hospital and $277.94 at Lakeside Medical Center. The highest are $3,599 at HCA Florida Woodmont Hospital, with Jackson Memorial Hospital and Holy Cross Hospital also listing high-end rates in the table.

Reading the 245x Florida Blue ER spread. Across 25 hospitals, rates run from $14.71 to $3,599, a 245x spread, and the median of all 3,280 published rates is $1,634. Several of the lowest rates are tied to plan types that look like Medicaid or Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans.

Questions for Florida Blue and your Miami hospital. These are facility rates, and professional fees are billed separately. A member can ask:

Florida Blue, for their own plan's negotiated rate and estimated cost share at a named hospital
Florida Blue, whether that hospital is in network for their plan
The hospital, for an estimate of the ER visit

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

Understanding Florida Blue Negotiated Rates

A negotiated rate is the price Florida Blue 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 Florida Blue 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

Cigna $14.71 - $3,143 30 hospitals Aetna $14.71 - $4,842 29 hospitals UnitedHealthcare $14.71 - $1,896 29 hospitals AvMed $20.05 - $8,070 27 hospitals MultiPlan/PHCS $28.34 - $13,719 22 hospitals Sunshine Health $15.15 - $2,982 21 hospitals

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

Frequently Asked Questions

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

The lowest Florida Blue 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 $3,599 at HCA Florida Woodmont Hospital, a 245x difference. Commercial plan rates typically fall between these extremes.

Is the Florida Blue negotiated rate what I'll pay?

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

How many Miami-Fort Lauderdale-West Palm Beach hospitals have published Florida Blue rates?

25 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published Florida Blue 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 Florida Blue directly.

Will Florida Blue cover an out-of-network ER visit?

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

Visit the official Florida Blue website: www.floridablue.com