Ankle arthroscopy/surgery 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.
$2,350.00 with Optimum vs $20,955.00 with AvMed — 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 | $2,350.00 | — |
| Simply Healthcare Plans | MGMCR | $3,792.00 | — |
| AIDS Healthcare | MGMCR | $3,950.00 | — |
| Molina | MCR | $3,950.00 | — |
| Medica HealthCare | MCR | $4,150.00 | — |
| Health Sun Health Plan | MGMCR | $4,200.00 | — |
| Freedom Health | MGMCR | $4,575.00 | — |
| MMM of FL (Health Advantage Plan) | MCR | $4,750.00 | — |
| Sunshine State Health Plan | QHP | $4,963.00 | — |
| Molina | HIX | $5,211.00 | — |
| CorVel Corporation | WORKERSCOMP | $6,490.78 | — |
| CareWorks (Rockport) | WORKERSCOMP | $6,627.43 | — |
| Prime Health | WORKERSCOMP | $6,627.43 | — |
| Cigna | HMO | $6,802.00 | — |
| Cigna | PPO | $6,802.00 | — |
| Simply Healthcare | HIX | $7,583.00 | — |
| Oscar | HIX | $8,392.00 | — |
| Aetna | QHP | $8,736.00 | — |
| AmeriHealth Caritas | HIX | $9,539.00 | — |
| AvMed | HIX | $9,553.00 | — |
| United | AllPayerAppendix | $10,100.00 | — |
| Aetna | HMO | $11,456.00 | — |
| Aetna | PPO | $13,140.00 | — |
| BCBS | MBN | $13,617.00 | — |
| Humana | HMO | $16,049.00 | — |
| BCBS | HMO | $16,920.00 | — |
| BCBS | SBN | $16,920.00 | — |
| BCBS | NWB | $17,548.00 | — |
| BCBS | PPO | $17,548.00 | — |
| Humana | PPO | $17,832.00 | — |
| BCBS | BSLNON-PAR | $18,507.00 | — |
| BCBS | PHS | $18,507.00 | — |
| AvMed | FullyInsured | $19,079.00 | — |
| AvMed | ASOEO | $20,955.00 | — |
| AvMed | Select | not published by hospital | — |
| AvMed | Empower | not published by hospital | — |
| AvMed | Flex | not published by hospital | — |
| AvMed | Focus | not published by hospital | — |
| AvMed | Engage | not published by hospital | — |
Visitor-reported prices
Comments
Ankle arthroscopy/surgery at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,853.80 | $358.22 – $3,758.57 |
| AdventHealth Orlando | Orlando | $10,690.00 | $3,416.88 – $9,054.74 |
| Adventhealth Carrollwood | Tampa | $31,045.79 | $614.00 – $7,585.48 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,246.04 – $5,702.77 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,246.04 – $7,298.12 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $7,585.48 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,246.04 – $7,464.18 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $5,953.02 – $6,078.35 |