Lower Back (Lumbar Spine) X-ray 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.
$175.44 with Optimum vs $2,448.00 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 |
|---|---|---|---|
| Optimum | MGMCR | $175.44 | — |
| Freedom Health | MGMCR | $175.44 | — |
| AvMed | HIX | $244.80 | — |
| United | AllPayerAppendix | $245.18 | — |
| Simply Healthcare Plans | MGMCR | $265.20 | — |
| Freedom Health | MGMCD | $326.40 | — |
| Molina | MCR | $346.80 | — |
| AvMed | FullyInsured | $428.40 | — |
| Humana | HMO | $428.40 | — |
| Health Sun Health Plan | MGMCR | $434.52 | — |
| AIDS Healthcare | MGMCR | $448.80 | — |
| MMM of FL (Health Advantage Plan) | MCR | $469.20 | — |
| United PPO | OptionsPPO | $483.48 | — |
| AvMed | ASOEO | $489.60 | — |
| CorVel Corporation | WORKERSCOMP | $512.98 | — |
| Prime Health | WORKERSCOMP | $523.78 | — |
| CareWorks (Rockport) | WORKERSCOMP | $523.78 | — |
| AvMed | Select | $530.40 | — |
| AvMed | Empower | $530.40 | — |
| AvMed | Focus | $530.40 | — |
| Sunshine State Health Plan | QHP | $530.40 | — |
| AvMed | Flex | $530.40 | — |
| AvMed | Engage | $530.40 | — |
| Molina | HIX | $550.80 | — |
| Aetna | ASA | $612.00 | — |
| Humana | PPO | $693.60 | — |
| United | GlobalBenefitPlanAppendix | $918.00 | — |
| Prime Health Sherriff | COMM | $1,020.00 | — |
| AvMed | JHSSelectHMO | $1,020.00 | — |
| AvMed | JacksonFirstNetworkOON | $1,020.00 | — |
| AvMed | MDCSelectOON | $1,020.00 | — |
| Plotkin Health | COMM | $1,020.00 | — |
| Medica HealthCare | MCR | $1,183.20 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,530.00 | — |
| Evernorth BH | COMM | $1,632.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,734.00 | — |
| AIDS Healthcare | MGMCD | $2,448.00 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) X-ray at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,261.16 | $94.39 – $182.21 |
| Adventhealth Lake Wales | Lake Wales | $1,881.75 | $77.67 – $242.37 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,311.05 | $85.22 – $286.15 |
| Adventhealth Tampa | Tampa | $1,857.44 | $76.59 – $242.37 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $681.26 | $103.72 – $238.49 |
| Adventhealth Port Charlotte | Port Charlotte | $2,066.82 | $80.04 – $199.35 |
| cleveland clinic florida weston hospital | Weston | $659.75 | $10.09 – $780.30 |
| martin north hospital | Stuart | $659.75 | $9.03 – $459.00 |