Cyclosporine modified 25 mg capsule 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.
$0.72 with Humana vs $31.20 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 |
|---|---|---|---|
| Humana | TRICR | $0.72 | — |
| United | AllPayerAppendix | $0.87 | — |
| BCBS | MCRHMO | $1.66 | — |
| Aetna | MCR | $1.79 | — |
| Freedom Health | MGMCR | $2.24 | — |
| Optimum | MGMCR | $2.24 | — |
| BCBS | MBN | $2.68 | — |
| Simply Healthcare Plans | MGMCR | $3.38 | — |
| BCBS | SBN | $3.41 | — |
| BCBS | HMO | $3.41 | — |
| Freedom Health | MGMCD | $4.16 | — |
| BCBS | NWB | $4.47 | — |
| BCBS | PPO | $4.47 | — |
| BCBS | BSLNON-PAR | $5.98 | — |
| MMM of FL (Health Advantage Plan) | MCR | $5.98 | — |
| BCBS | PHS | $5.98 | — |
| United PPO | OptionsPPO | $6.16 | — |
| AvMed | Select | $6.76 | — |
| AvMed | Focus | $6.76 | — |
| AvMed | Flex | $6.76 | — |
| AvMed | Engage | $6.76 | — |
| AvMed | Empower | $6.76 | — |
| Aetna | ASA | $7.80 | — |
| United | GlobalBenefitPlanAppendix | $11.70 | — |
| Plotkin Health | COMM | $13.00 | — |
| AvMed | JHSSelectHMO | $13.00 | — |
| AvMed | JacksonFirstNetworkOON | $13.00 | — |
| AvMed | MDCSelectOON | $13.00 | — |
| Prime Health Sherriff | COMM | $13.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $19.50 | — |
| Evernorth BH | COMM | $20.80 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $22.10 | — |
| AIDS Healthcare | MGMCD | $31.20 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Cyclosporine modified 25 mg capsule at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $17.00 | $0.74 – $0.87 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $44.00 | $0.72 – $1.14 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $42.00 | $0.72 – $0.87 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $1.37 | $0.90 – $1.25 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $4.04 | $1.22 – $1.25 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $5.11 | $1.22 – $2.75 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $5.48 | $0.90 – $1.25 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns | $0.83 | $0.90 – $1.25 |