CMS Price Transparency Data

Hospital observation (per hour)

Facility: Memorial Hospital Miramar

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $100
Cash Discount Price: $108
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Memorial Hospital Miramar is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.

Cash / Self-Pay

$108

Average discount available for prompt cash payment at this facility.

Insurance Median

$100

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Avmed	$15 - $49	N/A
Humana	$25	N/A
Molina	$28	N/A
Doctors Healthcare Plans	$34	N/A
Florida Community Care	$34	N/A
Aetna	$35 - $2,808	N/A
Solis Health Plan	$38	N/A
Employers Health Network	$49	N/A
Align Senior Care	$57	N/A
Gold Kidney	$57	N/A
Sunshine	$65 - $725	N/A
Emerging Therapy Solutions	$92	N/A
Desjardins Financial Security Life Assurance Company	$100	N/A
Quebec Inc	$100	N/A
Global Reach Health	$100	N/A
World Medical Care	$100	N/A
Worldwide Medical Assurance	$100	N/A
Worldwide Managed Care Partners	$100	N/A
Star Healthcare Network	$100	N/A
Axis	$100	N/A
National Healthcare Solutions	$100	N/A
Quality Health Management	$100	N/A
Plotkin	$100	N/A
Global Medical Management	$100	N/A
Allianz	$100	N/A
Global Health Claims	$100 - $131	N/A
Dimension Health	$104	N/A
First Health	$108	N/A
Gallagher Bassett	$108 - $123	N/A
Corvel	$108	N/A
Employers Choice Network	$108	N/A
Prime Health Services	$108	N/A
Carelon	$684	N/A
Broward County	$718 - $2,726	N/A
Evernorth	$1,333	N/A
Magellan Healthcare	$1,334	N/A
Cigna	$5,900 - $15,000	N/A
UnitedHealthcare	$7,280 - $14,028	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $108.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Hospital Miramar is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.