M/phmtrc alys skeletal musc at HCA FLORIDA AVENTURA HOSPITAL
18000 NW 57TH AVE, HIALEAH, FL · HCA Florida Healthcare · · NPI 1407801673
$1,697.00
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.
$1,697.00
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.
$145.94 with Optimum vs $2,036.40 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 | $145.94 | ↓ -91% |
| Freedom Health | MGMCR | $145.94 | ↓ -91% |
| United | AllPayerAppendix | $149.16 | ↓ -91% |
| AvMed | HIX | $203.64 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $220.61 | ↓ -87% |
| Simply Healthcare | HIX | $229.09 | ↓ -87% |
| Freedom Health | MGMCD | $271.52 | ↓ -84% |
| Oscar | HIX | $271.52 | ↓ -84% |
| Molina | MCR | $288.49 | ↓ -83% |
| AmeriHealth Caritas | HIX | $288.49 | ↓ -83% |
| CorVel Corporation | WORKERSCOMP | $299.41 | ↓ -82% |
| Prime Health | WORKERSCOMP | $305.71 | ↓ -82% |
| CareWorks (Rockport) | WORKERSCOMP | $305.71 | ↓ -82% |
| Humana | HMO | $356.37 | ↓ -79% |
| AvMed | FullyInsured | $356.37 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $361.46 | ↓ -79% |
| AIDS Healthcare | MGMCR | $373.34 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $390.31 | ↓ -77% |
| United PPO | OptionsPPO | $402.19 | ↓ -76% |
| AvMed | ASOEO | $407.28 | ↓ -76% |
| Sunshine State Health Plan | QHP | $441.22 | ↓ -74% |
| AvMed | Select | $441.22 | ↓ -74% |
| AvMed | Empower | $441.22 | ↓ -74% |
| AvMed | Engage | $441.22 | ↓ -74% |
| AvMed | Flex | $441.22 | ↓ -74% |
| AvMed | Focus | $441.22 | ↓ -74% |
| Molina | HIX | $458.19 | ↓ -73% |
| Aetna | ASA | $509.10 | ↓ -70% |
| Humana | PPO | $576.98 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $763.65 | ↓ -55% |
| Plotkin Health | COMM | $848.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $848.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $848.50 | ↓ -50% |
| AvMed | MDCSelectOON | $848.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $848.50 | ↓ -50% |
| Medica HealthCare | MCR | $984.26 | ↓ -42% |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,272.75 | ↓ -25% |
| Evernorth BH | COMM | $1,357.60 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,442.45 | ↓ -15% |
| AIDS Healthcare | MGMCD | $2,036.40 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
M/phmtrc alys skeletal musc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $590.00 | $149.16 – $280.39 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $185.30 | $149.16 – $284.64 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $390.30 | $149.16 – $268.93 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $66.50 | $149.16 – $289.52 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES | $447.04 | $149.16 – $149.16 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $118.20 | $149.16 – $284.64 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE | $488.65 | $149.16 – $292.21 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON | $720.00 | $149.16 – $284.64 |