Simply Healthcare ER Visit Rates in Miami-Fort Lauderdale-West Palm Beach
Published Simply Healthcare negotiated rates for ER Visit at 16 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
$2,194
HCA Florida Woodmont Hospital
all plan types
Rate Spread
149x
across all plan types
Hospitals
16
with Simply Healthcare data
Simply Healthcare's negotiated ER visit rates in the Miami-Fort Lauderdale-West Palm Beach area span 149x across 16 hospitals, from $14.71 at Holy Cross Hospital to $2,194 at HCA Florida Woodmont Hospital. The median rate is $379.09. The lowest figures often reflect Medicaid or Medicare plan types rather than commercial coverage.
Simply Healthcare ER Visit Rates by Hospital
| Hospital | Lowest Simply Healthcare Rate |
|---|---|
| Holy Cross Hospital | $14.71 |
| Mount Sinai Medical Center | $129.09 |
| Lakeside Medical Center | $277.94 |
| Jackson Memorial Hospital | $1,148.40 |
| Jackson North Medical Center | $1,148.40 |
| Jackson South Medical Center | $1,148.40 |
| Jackson West Medical Center | $1,148.40 |
| HCA Florida Aventura Hospital | $1,677 |
| HCA Florida JFK Hospital | $1,677 |
| HCA Florida JFK North Hospital | $1,677 |
| HCA Florida Kendall Hospital | $1,677 |
| HCA Florida Northwest Hospital | $1,677 |
| HCA Florida Palms West Hospital | $1,677 |
| HCA Florida University Hospital | $1,677 |
| HCA Florida Westside Hospital | $1,677 |
| HCA Florida Woodmont Hospital | $1,677 |
Median of all 170 published Simply Healthcare rates for ER Visit at these hospitals: $1,677
Rates shown are Simply Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Simply 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 Simply Healthcare ER Visit Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami ER visit rates start with Simply Healthcare. The lowest published rates sit at Holy Cross Hospital at $14.71, Mount Sinai Medical Center at $129.09 and Jackson Memorial Hospital at $248.01. At the top, HCA Florida Woodmont Hospital shows $2,194, and HCA Florida Westside Hospital and HCA Florida University Hospital also reach $2,194.
How wide the Simply Healthcare ER spread runs across Miami. The page shows a 149x spread, and the median of all 170 published rates is $379.09. The plan types beside the lowest rates are labeled MEDICAID, Simply Medicaid and SIMPLY HLTH MCR, so the low end likely reflects Medicaid and Medicare Advantage plans rather than commercial plans. The highest rates are tied to HIX, an exchange plan label.
Questions to bring about a Miami ER visit. These are facility rates, and professional fees are billed separately. A member can ask:
- Simply Healthcare for their own plan's negotiated rate and estimated cost share at a named hospital
- Simply 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 Simply Healthcare Negotiated Rates
A negotiated rate is the price Simply 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 Simply 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 Simply Healthcare ER Visit in Miami-Fort Lauderdale-West Palm Beach?
The lowest Simply 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 $2,194 at HCA Florida Woodmont Hospital, a 149x difference. Commercial plan rates typically fall between these extremes.
Is the Simply Healthcare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Simply 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 Simply Healthcare for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published Simply Healthcare rates?
16 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published Simply 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 Simply Healthcare directly.
Will Simply Healthcare cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Simply 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 Simply 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 Simply 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.