Calculi urinary-sendout 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.
$3.27 with Optimum vs $82.30 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 |
|---|---|---|---|
| Optimum | MGMCR | $3.27 | — |
| Freedom Health | MGMCR | $3.27 | — |
| AvMed | HIX | $4.56 | — |
| Simply Healthcare Plans | MGMCR | $4.94 | — |
| Freedom Health | MGMCD | $6.08 | — |
| Molina | MCR | $6.46 | — |
| Humana | HMO | $7.98 | — |
| AvMed | FullyInsured | $7.98 | — |
| Health Sun Health Plan | MGMCR | $8.09 | — |
| AIDS Healthcare | MGMCR | $8.36 | — |
| MMM of FL (Health Advantage Plan) | MCR | $8.74 | — |
| United PPO | OptionsPPO | $9.01 | — |
| AvMed | ASOEO | $9.12 | — |
| AvMed | Engage | $9.88 | — |
| AvMed | Empower | $9.88 | — |
| AvMed | Flex | $9.88 | — |
| AvMed | Select | $9.88 | — |
| AvMed | Focus | $9.88 | — |
| Sunshine State Health Plan | QHP | $9.88 | — |
| Molina | HIX | $10.26 | — |
| Aetna | ASA | $11.40 | — |
| HUMANA | MGMCRPPO | $12.74 | — |
| HUMANA | MGMCRHMO | $12.74 | — |
| Humana | TRICR | $12.81 | — |
| Wellmed | MGMCR | $12.87 | — |
| United Behavioral Health | VACCN | $12.87 | — |
| United | AllPayerAppendix | $12.87 | — |
| United | GVT | $12.87 | — |
| Cigna HealthSpring | MGMCR | $12.87 | — |
| CarePlus SFL | MGMCR | $12.87 | — |
| Leon Health | MCR | $12.87 | — |
| NDMS Definitive Care | MGMCR | $12.87 | — |
| Veterans Evaluation Services | MCR | $12.87 | — |
| Devoted Health | MCR | $12.87 | — |
| Humana | PPO | $12.92 | — |
| BCBS | MCRPPO | $13.13 | — |
| United | MCR | $13.13 | — |
| BCBS | MCRHMO | $13.13 | — |
| Aetna | MCR | $13.26 | — |
| Sunshine State | MCR | $13.51 | — |
| Prominence HealthFirst | MCRHMO | $13.51 | — |
| Oscar | MCR | $13.51 | — |
| American Health Plan | MCR | $13.64 | — |
| Florida Complete Care | MCR | $13.77 | — |
| Align | MCR | $13.77 | — |
| AvMed | MCR | $13.90 | — |
| Centurion | GVT | $14.16 | — |
| Sunshine State | MCD | $14.16 | — |
| Doctors Healthcare Plan | MCR | $14.16 | — |
| Gold Kidney | MCR | $14.41 | — |
| Longevity Health Plan | MCR | $15.44 | — |
| AmeriHealth Caritas | MGMCR | $15.44 | — |
| Simply Healthcare | HIX | $16.34 | — |
| United | GlobalBenefitPlanAppendix | $17.10 | — |
| Oscar | HIX | $18.15 | — |
| Solis Health Plan | MCR | $18.66 | — |
| Prime Health Sherriff | COMM | $19.00 | — |
| AvMed | MDCSelectOON | $19.00 | — |
| AvMed | JacksonFirstNetworkOON | $19.00 | — |
| AvMed | JHSSelectHMO | $19.00 | — |
| Plotkin Health | COMM | $19.00 | — |
| AmeriHealth Caritas | HIX | $19.30 | — |
| Medica HealthCare | MCR | $22.04 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $28.50 | — |
| Evernorth BH | COMM | $30.40 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $32.30 | — |
| AIDS Healthcare | MGMCD | $45.60 | — |
| CorVel Corporation | WORKERSCOMP | $80.61 | — |
| Prime Health | WORKERSCOMP | $82.30 | — |
| CareWorks (Rockport) | WORKERSCOMP | $82.30 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Calculi urinary-sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $198.65 | $12.87 – $28.57 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $15.00 | $10.30 – $75.49 |
| Adventhealth Port Charlotte | Port Charlotte | $85.70 | $12.87 – $23.50 |
| Baptist Hospital | MIAMI | $57.20 | $4.86 – $79.20 |
| Bethesda Hospital East | BOYNTON BEACH | $57.20 | $6.32 – $79.20 |
| Boca Raton Regional Hospital | BOCA RATON | $23.40 | $12.87 – $23.51 |
| Doctors Hospital | CORAL GABLES | $57.20 | $6.12 – $79.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $57.20 | $6.12 – $79.20 |