Diab manage trn ind/group 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.
$14.62 with Freedom Health vs $204.00 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $14.62 | — |
| Optimum | MGMCR | $14.62 | — |
| Humana | TRICR | $15.39 | — |
| HUMANA | MGMCRPPO | $16.67 | — |
| HUMANA | MGMCRHMO | $16.67 | — |
| Leon Health | MCR | $16.84 | — |
| Veterans Evaluation Services | MCR | $16.84 | — |
| United Behavioral Health | VACCN | $16.84 | — |
| CarePlus SFL | MGMCR | $16.84 | — |
| NDMS Definitive Care | MGMCR | $16.84 | — |
| Wellmed | MGMCR | $16.84 | — |
| Cigna HealthSpring | MGMCR | $16.84 | — |
| United | GVT | $16.84 | — |
| Devoted Health | MCR | $16.84 | — |
| CorVel Corporation | WORKERSCOMP | $17.10 | — |
| BCBS | MCRHMO | $17.18 | — |
| United | MCR | $17.18 | — |
| BCBS | MCRPPO | $17.18 | — |
| Aetna | MCR | $17.35 | — |
| Prime Health | WORKERSCOMP | $17.46 | — |
| CareWorks (Rockport) | WORKERSCOMP | $17.46 | — |
| BCBS | MBN | $17.51 | — |
| Sunshine State | MCR | $17.68 | — |
| Prominence HealthFirst | MCRHMO | $17.68 | — |
| Oscar | MCR | $17.68 | — |
| American Health Plan | MCR | $17.85 | — |
| Align | MCR | $18.02 | — |
| Florida Complete Care | MCR | $18.02 | — |
| AvMed | MCR | $18.19 | — |
| Doctors Healthcare Plan | MCR | $18.52 | — |
| Sunshine State | MCD | $18.52 | — |
| Centurion | GVT | $18.52 | — |
| Gold Kidney | MCR | $18.86 | — |
| Longevity Health Plan | MCR | $20.21 | — |
| AmeriHealth Caritas | MGMCR | $20.21 | — |
| AvMed | HIX | $20.40 | — |
| Simply Healthcare Plans | MGMCR | $22.10 | — |
| BCBS | SBN | $22.27 | — |
| BCBS | HMO | $22.27 | — |
| Aetna | QHP | $22.78 | — |
| Simply Healthcare | HIX | $22.95 | — |
| Solis Health Plan | MCR | $24.42 | — |
| Oscar | HIX | $27.20 | — |
| Freedom Health | MGMCD | $27.20 | — |
| Aetna | HMO | $28.73 | — |
| AmeriHealth Caritas | HIX | $28.90 | — |
| Molina | MCR | $28.90 | — |
| BCBS | PPO | $29.24 | — |
| BCBS | NWB | $29.24 | — |
| Aetna | PPO | $33.15 | — |
| AvMed | FullyInsured | $35.70 | — |
| Cigna | PPO | $35.70 | — |
| Cigna | HMO | $35.70 | — |
| Humana | HMO | $35.70 | — |
| Health Sun Health Plan | MGMCR | $36.21 | — |
| AIDS Healthcare | MGMCR | $37.40 | — |
| BCBS | BSLNON-PAR | $39.10 | — |
| BCBS | PHS | $39.10 | — |
| MMM of FL (Health Advantage Plan) | MCR | $39.10 | — |
| United PPO | OptionsPPO | $40.29 | — |
| AvMed | ASOEO | $40.80 | — |
| AvMed | Engage | $44.20 | — |
| AvMed | Empower | $44.20 | — |
| AvMed | Select | $44.20 | — |
| AvMed | Flex | $44.20 | — |
| AvMed | Focus | $44.20 | — |
| Sunshine State Health Plan | QHP | $44.20 | — |
| Molina | HIX | $45.90 | — |
| Aetna | ASA | $51.00 | — |
| Humana | PPO | $57.80 | — |
| United | GlobalBenefitPlanAppendix | $76.50 | — |
| AvMed | JHSSelectHMO | $85.00 | — |
| Prime Health Sherriff | COMM | $85.00 | — |
| Plotkin Health | COMM | $85.00 | — |
| AvMed | MDCSelectOON | $85.00 | — |
| AvMed | JacksonFirstNetworkOON | $85.00 | — |
| Medica HealthCare | MCR | $98.60 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $127.50 | — |
| Evernorth BH | COMM | $136.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $144.50 | — |
| AIDS Healthcare | MGMCD | $204.00 | — |
Visitor-reported prices
Comments
Diab manage trn ind/group at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $78.88 | $16.00 – $28.11 |
| Adventhealth Tampa | Tampa | $143.50 | $16.84 – $37.38 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $40.51 | $16.00 – $36.79 |
| Adventhealth Port Charlotte | Port Charlotte | $174.74 | not published |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $144.84 | $14.49 – $23.03 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $103.00 | $14.98 – $23.78 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $189.92 | $14.49 – $17.47 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $312.75 | $14.49 – $23.03 |