Sunshine Health ER Visit Rates in Port St. Lucie

Published Sunshine Health negotiated rates for ER Visit at 3 hospitals in Port St. Lucie, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$56.56

Cleveland Clinic Martin North Hospital

all plan types

Highest Rate

$1,503

HCA Florida St. Lucie Hospital

all plan types

Rate Spread

27x

across all plan types

Hospitals

3

with Sunshine Health data

Sunshine Health's negotiated ER visit rates in Port St. Lucie span 27x, from $56.56 at Cleveland Clinic Martin North Hospital to $1,503 at HCA Florida St. Lucie Hospital. The lowest rate applies to Managed Medicaid, which often prices well below commercial plans. Across the three hospitals listed, the median negotiated rate is $1,503.

Why the range is so wide: Sunshine Health 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.

Sunshine Health ER Visit Rates by Hospital

Hospital Lowest Sunshine Health Rate
Cleveland Clinic Martin North Hospital $56.56
HCA Florida Lawnwood Hospital $1,503
HCA Florida St. Lucie Hospital $1,503

Median of all 33 published Sunshine Health rates for ER Visit at these hospitals: $1,503

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.

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 Port St. Lucie

View all ER Visit prices in Port St. Lucie (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Sunshine Health ER Visit in Port St. Lucie?

The lowest Sunshine Health negotiated rate for ER Visit in Port St. Lucie is $56.56 at Cleveland Clinic Martin North Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,503 at HCA Florida St. Lucie Hospital, a 27x 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 Port St. Lucie hospitals have published Sunshine Health rates?

3 hospitals in the Port St. Lucie 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.