Sunshine Health ER Visit Rates in Miami-Fort Lauderdale-West Palm Beach
Published Sunshine Health negotiated rates for ER Visit at 21 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
$15.15
Holy Cross Hospital
all plan types
Highest Rate
$2,982
Jackson West Medical Center
all plan types
Rate Spread
197x
across all plan types
Hospitals
21
with Sunshine Health data
Sunshine Health's negotiated ER visit rates across 21 Miami-Fort Lauderdale-West Palm Beach hospitals span an 83x range, from $15.15 at Holy Cross Hospital to $1,261 at HCA Florida Woodmont Hospital. The median rate is $839.57. The lowest figures are tied to Medicaid plans rather than commercial coverage, so comparisons across plan types will differ.
Sunshine Health ER Visit Rates by Hospital
| Hospital | Lowest Sunshine Health Rate |
|---|---|
| Holy Cross Hospital | $15.15 |
| Mount Sinai Medical Center | $115.26 |
| Lakeside Medical Center | $291.83 |
| Memorial Hospital Miramar | $384.83 |
| Memorial Hospital Pembroke | $384.83 |
| Memorial Hospital West | $384.83 |
| Memorial Regional Hospital | $384.83 |
| HCA Florida Aventura Hospital | $1,240 |
| HCA Florida JFK Hospital | $1,240 |
| HCA Florida JFK North Hospital | $1,240 |
| HCA Florida Kendall Hospital | $1,240 |
| HCA Florida Mercy Hospital | $1,240 |
| HCA Florida Palms West Hospital | $1,240 |
| HCA Florida Northwest Hospital | $1,261 |
| HCA Florida University Hospital | $1,261 |
| HCA Florida Westside Hospital | $1,261 |
| HCA Florida Woodmont Hospital | $1,261 |
| 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 450 published Sunshine Health rates for ER Visit at these hospitals: $1,240
Rates shown are Sunshine Health's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Sunshine Health 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 Sunshine Health ER Visit Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami ER visit rates start and end for Sunshine Health. Of the 21 hospitals with Sunshine Health rates, the lowest figures are $15.15 at Holy Cross Hospital, $115.26 at Mount Sinai Medical Center and $285.07 at Jackson Memorial Hospital. At the other end, HCA Florida Woodmont Hospital, HCA Florida Northwest Hospital and HCA Florida University Hospital each show $1,261.
How wide the ER visit spread runs and what sits behind it. The spread on this page is 83x, and the median of all 450 published rates is $839.57. The plan types beside the lowest rates, such as Sunshine Medicaid and Sunshine MCR ADV, look like Medicaid and Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans.
What to ask Sunshine Health and the hospital before an ER visit. These are facility rates, and professional fees are billed separately. A member can ask:
- Sunshine Health for their own plan's negotiated rate and estimated cost share at a named hospital
- Sunshine Health 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 Sunshine Health Negotiated Rates
A negotiated rate is the price Sunshine Health 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 Sunshine Health 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 Sunshine Health ER Visit in Miami-Fort Lauderdale-West Palm Beach?
The lowest Sunshine Health negotiated rate for ER Visit in Miami-Fort Lauderdale-West Palm Beach is $15.15 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 197x difference. Commercial plan rates typically fall between these extremes.
Is the Sunshine Health negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Sunshine Health 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 Sunshine Health for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published Sunshine Health rates?
21 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published Sunshine Health 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 Sunshine Health directly.
Will Sunshine Health cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Sunshine Health 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 Sunshine Health 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 Sunshine Health or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.