CMS Price Transparency Data

Residential substance abuse treatment

Facility: Memorial Hospital Miramar

Billing Code: H2035 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: H2035
Insurance Median: $21
Cash Discount Price: $18
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Residential substance abuse treatment at Memorial Hospital Miramar is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. 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

$18

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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 (%)

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Florida Community Care	$6 - $20	N/A
Employers Choice Network	$7 - $25	N/A
National Healthcare Solutions	$7 - $25	N/A
Desjardins Financial Security Life Assurance Company	$7 - $25	N/A
Worldwide Managed Care Partners	$7 - $25	N/A
Quebec Inc	$7 - $25	N/A
Global Health Claims	$7 - $26	N/A
Star Healthcare Network	$7 - $25	N/A
Global Reach Health	$7 - $25	N/A
Global Medical Management	$7 - $25	N/A
Emerging Therapy Solutions	$7 - $23	N/A
Allianz	$7 - $25	N/A
Quality Health Management	$7 - $24	N/A
Worldwide Medical Assurance	$7 - $25	N/A
Plotkin	$7 - $25	N/A
Axis	$7 - $25	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 $18.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: H2035.

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 H2035.
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.