Electrophysiology evaluation 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.
$86.45 with CorVel Corporation vs $50,788.80 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 | $86.45 | — |
| CareWorks (Rockport) | WORKERSCOMP | $88.27 | — |
| Prime Health | WORKERSCOMP | $88.27 | — |
| Simply Healthcare Plans | MGMCR | $5,502.12 | — |
| Freedom Health | MGMCD | $6,771.84 | — |
| Sunshine State Health Plan | QHP | $6,826.00 | — |
| Molina | MCR | $7,195.08 | — |
| Health Sun Health Plan | MGMCR | $7,350.00 | — |
| Medica HealthCare | MCR | $7,950.00 | — |
| Freedom Health | MGMCR | $8,000.00 | — |
| Optimum | MGMCR | $8,000.00 | — |
| Molina | HIX | $8,010.00 | — |
| AIDS Healthcare | MGMCR | $8,300.00 | — |
| MMM of FL (Health Advantage Plan) | MCR | $8,300.00 | — |
| United PPO | OptionsPPO | $10,030.79 | — |
| AvMed | Engage | $11,004.24 | — |
| AvMed | Empower | $11,004.24 | — |
| AvMed | Select | $11,004.24 | — |
| AvMed | Focus | $11,004.24 | — |
| AvMed | Flex | $11,004.24 | — |
| Aetna | ASA | $12,697.20 | — |
| BCBS | MBN | $13,504.00 | — |
| Aetna | QHP | $15,071.00 | — |
| Cigna | HMO | $17,341.00 | — |
| Cigna | PPO | $17,341.00 | — |
| BCBS | SBN | $17,438.00 | — |
| BCBS | HMO | $17,438.00 | — |
| BCBS | NWB | $17,511.00 | — |
| BCBS | PPO | $17,511.00 | — |
| Humana | HMO | $17,832.00 | — |
| United | AllPayerAppendix | $18,000.00 | — |
| United | GlobalBenefitPlanAppendix | $19,045.80 | — |
| Aetna | HMO | $19,763.00 | — |
| Prime Health Sherriff | COMM | $21,162.00 | — |
| AvMed | JacksonFirstNetworkOON | $21,162.00 | — |
| AvMed | JHSSelectHMO | $21,162.00 | — |
| AvMed | MDCSelectOON | $21,162.00 | — |
| Plotkin Health | COMM | $21,162.00 | — |
| Humana | PPO | $21,400.00 | — |
| AvMed | HIX | $21,609.00 | — |
| BCBS | BSLNON-PAR | $21,794.00 | — |
| BCBS | PHS | $21,794.00 | — |
| Aetna | PPO | $22,510.00 | — |
| AmeriHealth Caritas | HIX | $30,632.00 | — |
| Simply Healthcare | HIX | $31,403.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $31,743.00 | — |
| Evernorth BH | COMM | $33,859.20 | — |
| Oscar | HIX | $34,754.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $35,975.40 | — |
| AvMed | FullyInsured | $39,569.00 | — |
| AvMed | ASOEO | $43,464.00 | — |
| AIDS Healthcare | MGMCD | $50,788.80 | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $16,705.22 | $7,737.77 – $13,594.05 |
| Adventhealth Tampa | Tampa | $21,906.42 | $8,145.02 – $18,081.96 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $38,984.00 | $86.45 – $88.27 |
| Adventhealth Port Charlotte | Port Charlotte | $25,192.38 | $8,145.02 – $14,872.82 |
| cleveland clinic florida weston hospital | Weston | $38,688.65 | $249.43 – $46,359.00 |
| martin north hospital | Stuart | $35,451.00 | $811.00 – $27,270.00 |
| indian river hospital | Vero Beach | $35,451.00 | $800.64 – $43,632.00 |
| Baptist Hospital | MIAMI | $14,748.50 | $173.17 – $20,421.00 |