Administration vaccine pneumococcal at HCA FLORIDA AVENTURA HOSPITAL
18000 NW 57TH AVE, HIALEAH, FL · HCA Florida Healthcare · · NPI 1407801673
not published by hospital
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.
not published by hospital
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.
$25.63 with Optimum vs $357.60 with AIDS Healthcare — 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 |
|---|---|---|---|
| Optimum | MGMCR | $25.63 | — |
| Freedom Health | MGMCR | $25.63 | — |
| BCBS | MBN | $30.69 | — |
| AvMed | HIX | $35.76 | — |
| Simply Healthcare Plans | MGMCR | $38.74 | — |
| BCBS | HMO | $39.04 | — |
| BCBS | SBN | $39.04 | — |
| Aetna | QHP | $39.93 | — |
| Simply Healthcare | HIX | $40.23 | — |
| Oscar | HIX | $47.68 | — |
| Freedom Health | MGMCD | $47.68 | — |
| Aetna | HMO | $50.36 | — |
| Molina | MCR | $50.66 | — |
| AmeriHealth Caritas | HIX | $50.66 | — |
| BCBS | NWB | $51.26 | — |
| BCBS | PPO | $51.26 | — |
| Aetna | PPO | $58.11 | — |
| AvMed | FullyInsured | $62.58 | — |
| Humana | HMO | $62.58 | — |
| Cigna | PPO | $62.58 | — |
| Cigna | HMO | $62.58 | — |
| Health Sun Health Plan | MGMCR | $63.47 | — |
| AIDS Healthcare | MGMCR | $65.56 | — |
| MMM of FL (Health Advantage Plan) | MCR | $68.54 | — |
| BCBS | BSLNON-PAR | $68.54 | — |
| BCBS | PHS | $68.54 | — |
| United PPO | OptionsPPO | $70.63 | — |
| AvMed | ASOEO | $71.52 | — |
| CorVel Corporation | WORKERSCOMP | $74.33 | — |
| CareWorks (Rockport) | WORKERSCOMP | $75.89 | — |
| Prime Health | WORKERSCOMP | $75.89 | — |
| AvMed | Focus | $77.48 | — |
| Sunshine State Health Plan | QHP | $77.48 | — |
| AvMed | Select | $77.48 | — |
| AvMed | Empower | $77.48 | — |
| AvMed | Engage | $77.48 | — |
| AvMed | Flex | $77.48 | — |
| Molina | HIX | $80.46 | — |
| Aetna | ASA | $89.40 | — |
| Humana | PPO | $101.32 | — |
| United | GlobalBenefitPlanAppendix | $134.10 | — |
| Plotkin Health | COMM | $149.00 | — |
| AvMed | JHSSelectHMO | $149.00 | — |
| AvMed | JacksonFirstNetworkOON | $149.00 | — |
| AvMed | MDCSelectOON | $149.00 | — |
| Prime Health Sherriff | COMM | $149.00 | — |
| Medica HealthCare | MCR | $172.84 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $223.50 | — |
| Evernorth BH | COMM | $238.40 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $253.30 | — |
| AIDS Healthcare | MGMCD | $357.60 | — |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $199.00 | $71.58 – $73.09 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $52.63 | $83.60 – $83.60 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $52.63 | $83.60 – $83.60 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $210.00 | $74.33 – $75.89 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $79.70 | $63.42 – $66.76 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $206.91 | $64.39 – $65.75 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $97.43 | $69.21 – $70.66 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE | $110.05 | $68.91 – $72.54 |