Duplex scan bilateral study 93985 at HCA FLORIDA AVENTURA HOSPITAL
18000 NW 57TH AVE, HIALEAH, FL · HCA Florida Healthcare · · NPI 1407801673
$3,174.00
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.
$3,174.00
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.
$250.80 with CorVel Corporation vs $3,808.80 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $250.80 | ↓ -92% |
| Prime Health | WORKERSCOMP | $256.08 | ↓ -92% |
| CareWorks (Rockport) | WORKERSCOMP | $256.08 | ↓ -92% |
| Optimum | MGMCR | $272.96 | ↓ -91% |
| Freedom Health | MGMCR | $272.96 | ↓ -91% |
| AvMed | HIX | $380.88 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $412.62 | ↓ -87% |
| Simply Healthcare | HIX | $428.49 | ↓ -87% |
| Oscar | HIX | $507.84 | ↓ -84% |
| Freedom Health | MGMCD | $507.84 | ↓ -84% |
| AmeriHealth Caritas | HIX | $539.58 | ↓ -83% |
| Molina | MCR | $539.58 | ↓ -83% |
| AvMed | FullyInsured | $666.54 | ↓ -79% |
| Humana | HMO | $666.54 | ↓ -79% |
| Cigna | PPO | $666.54 | ↓ -79% |
| Cigna | HMO | $666.54 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $676.06 | ↓ -79% |
| AIDS Healthcare | MGMCR | $698.28 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $730.02 | ↓ -77% |
| United PPO | OptionsPPO | $752.24 | ↓ -76% |
| AvMed | ASOEO | $761.76 | ↓ -76% |
| AvMed | Engage | $825.24 | ↓ -74% |
| Sunshine State Health Plan | QHP | $825.24 | ↓ -74% |
| AvMed | Focus | $825.24 | ↓ -74% |
| AvMed | Empower | $825.24 | ↓ -74% |
| AvMed | Flex | $825.24 | ↓ -74% |
| AvMed | Select | $825.24 | ↓ -74% |
| Molina | HIX | $856.98 | ↓ -73% |
| Aetna | ASA | $952.20 | ↓ -70% |
| Humana | PPO | $1,079.16 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $1,428.30 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $1,587.00 | ↓ -50% |
| Plotkin Health | COMM | $1,587.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $1,587.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $1,587.00 | ↓ -50% |
| AvMed | MDCSelectOON | $1,587.00 | ↓ -50% |
| Medica HealthCare | MCR | $1,840.92 | ↓ -42% |
| Multiplan | COMMPPOPRIMARYNETWORK | $2,380.50 | ↓ -25% |
| Evernorth BH | COMM | $2,539.20 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $2,697.90 | ↓ -15% |
| AIDS Healthcare | MGMCD | $3,808.80 | ↑ +20% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Duplex scan bilateral study 93985 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,889.87 | $236.71 – $415.86 |
| Adventhealth Lake Wales | Lake Wales | $3,842.04 | $249.17 – $553.15 |
| Adventhealth Tampa | Tampa | $2,833.35 | $249.17 – $553.15 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,339.00 | $229.90 – $234.74 |
| Adventhealth Port Charlotte | Port Charlotte | $2,388.50 | $249.17 – $454.98 |
| cleveland clinic florida weston hospital | Weston | $1,337.70 | $39.78 – $1,477.30 |
| martin north hospital | Stuart | $1,337.70 | $40.61 – $869.00 |
| indian river hospital | Vero Beach | $1,337.70 | $39.78 – $1,390.40 |