Molina Healthcare ER Visit Rates in Miami-Fort Lauderdale-West Palm Beach
Published Molina Healthcare negotiated rates for ER Visit at 19 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
$14.71
Holy Cross Hospital
all plan types
Highest Rate
$1,300
Mount Sinai Medical Center
all plan types
Rate Spread
88x
across all plan types
Hospitals
19
with Molina Healthcare data
Molina Healthcare's negotiated ER visit rates in the Miami-Fort Lauderdale-West Palm Beach area span an 88x range across 19 hospitals, from $14.71 at Holy Cross Hospital to $1,300 at Mount Sinai Medical Center. The median rate is $924. The lowest rate is listed under a Medicaid plan, and lower figures often reflect Medicaid or Medicare rather than commercial coverage.
Molina Healthcare ER Visit Rates by Hospital
| Hospital | Lowest Molina Healthcare Rate |
|---|---|
| Holy Cross Hospital | $14.71 |
| Lakeside Medical Center | $277.94 |
| Memorial Hospital Miramar | $625 |
| Memorial Hospital Pembroke | $625 |
| Memorial Hospital West | $625 |
| Memorial Regional Hospital | $625 |
| HCA Florida Aventura Hospital | $800 |
| HCA Florida JFK Hospital | $800 |
| HCA Florida Kendall Hospital | $800 |
| HCA Florida Mercy Hospital | $800 |
| HCA Florida Northwest Hospital | $800 |
| HCA Florida Palms West Hospital | $800 |
| HCA Florida Westside Hospital | $800 |
| HCA Florida Woodmont Hospital | $800 |
| Jackson Memorial Hospital | $924 |
| Jackson North Medical Center | $924 |
| Jackson South Medical Center | $924 |
| Jackson West Medical Center | $924 |
| Mount Sinai Medical Center | $1,300 |
Median of all 640 published Molina Healthcare rates for ER Visit at these hospitals: $1,240
Rates shown are Molina Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Molina Healthcare 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 Molina Healthcare ER Visit Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami ER visit rates start for Molina Healthcare. The lowest published rate is $14.71 at Holy Cross Hospital, followed by $277.94 at Lakeside Medical Center and $313.57 at Jackson Memorial Hospital. At the top, Mount Sinai Medical Center lists $1,300, and the HCA Florida hospitals, such as HCA Florida Aventura Hospital, list $800 as both their lowest and highest rate.
How wide the Molina Healthcare spread runs around Miami. Across 19 hospitals the page shows a spread of 88x, with a median of $924 among 640 published rates. The lowest rates sit beside plan types that look like Medicaid and Medicare Advantage, so the low end likely reflects those plans rather than commercial plans. A plan behind a given rate is not always the one a member holds.
What Molina Healthcare members can ask about a Miami ER visit. These are facility rates, and professional fees are billed separately. A member can ask:
- Molina Healthcare for their own plan's negotiated rate and estimated cost share at a named hospital
- Molina Healthcare 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 Molina Healthcare Negotiated Rates
A negotiated rate is the price Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare ER Visit in Miami-Fort Lauderdale-West Palm Beach?
The lowest Molina Healthcare 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 $1,300 at Mount Sinai Medical Center, an 88x difference. Commercial plan rates typically fall between these extremes.
Is the Molina Healthcare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Molina Healthcare 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 Molina Healthcare for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published Molina Healthcare rates?
19 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published Molina Healthcare 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 Molina Healthcare directly.
Will Molina Healthcare cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare website: www.molinahealthcare.com