Consultation/report referred material w/preparation of slides at HCA FLORIDA KENDALL HOSPITAL
10915 NW 41ST ST, DORAL, FL · HCA Florida Healthcare · · NPI 1710931522
$203.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$203.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$17.46 with Freedom Health vs $305.71 with CareWorks (Rockport) — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Freedom Health | MGMCR | $17.46 | ↓ -91% |
| Optimum | MGMCR | $17.46 | ↓ -91% |
| AvMed | HIX | $24.36 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $26.39 | ↓ -87% |
| Simply Healthcare | HIX | $27.41 | ↓ -86% |
| Freedom Health | MGMCD | $32.48 | ↓ -84% |
| Oscar | HIX | $32.48 | ↓ -84% |
| AmeriHealth Caritas | HIX | $34.51 | ↓ -83% |
| Molina | MCR | $38.57 | ↓ -81% |
| Humana | HMO | $42.63 | ↓ -79% |
| AvMed | FullyInsured | $42.63 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $43.24 | ↓ -79% |
| AIDS Healthcare | MGMCR | $44.66 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $46.69 | ↓ -77% |
| United PPO | OptionsPPO | $48.11 | ↓ -76% |
| AvMed | ASOEO | $48.72 | ↓ -76% |
| United | AllPayerAppendix | $49.76 | ↓ -75% |
| Sunshine State Health Plan | QHP | $52.78 | ↓ -74% |
| AvMed | Select | $52.78 | ↓ -74% |
| AvMed | Empower | $52.78 | ↓ -74% |
| AvMed | Engage | $52.78 | ↓ -74% |
| AvMed | Flex | $52.78 | ↓ -74% |
| AvMed | Focus | $52.78 | ↓ -74% |
| Molina | HIX | $54.81 | ↓ -73% |
| AvMed | JHSSelect | $56.84 | ↓ -72% |
| AvMed | MDCSelect | $56.84 | ↓ -72% |
| Aetna | ASA | $60.90 | ↓ -70% |
| Humana | PPO | $69.02 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $91.35 | ↓ -55% |
| Prime Health Sherriff | COMM | $101.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $101.50 | ↓ -50% |
| Plotkin Health | COMM | $101.50 | ↓ -50% |
| Medica HealthCare | MCR | $117.74 | ↓ -42% |
| Multiplan | COMMPPOPRIMARYNETWORK | $152.25 | ↓ -25% |
| Evernorth BH | COMM | $162.40 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $172.55 | ↓ -15% |
| AIDS Healthcare | MGMCD | $243.60 | ↑ +20% |
| CorVel Corporation | WORKERSCOMP | $299.41 | ↑ +47% |
| Prime Health | WORKERSCOMP | $305.71 | ↑ +51% |
| CareWorks (Rockport) | WORKERSCOMP | $305.71 | ↑ +51% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $247.40 | $51.70 – $90.82 |
| Adventhealth Lake Wales | Lake Wales | $156.18 | $54.42 – $120.81 |
| Adventhealth Palm Coast Parkway | Palm Coast | $184.29 | $51.70 – $116.23 |
| Adventhealth Tampa | Tampa | $691.67 | $54.42 – $120.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $513.39 | $51.70 – $118.88 |
| Adventhealth Port Charlotte | Port Charlotte | $368.07 | $54.42 – $99.37 |
| cleveland clinic florida weston hospital | Weston | $511.55 | $38.59 – $787.00 |
| martin north hospital | Stuart | $511.55 | $49.47 – $787.00 |