Manipulation chest wall demonstration/evaluation subsequent 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.
$28.72 with Optimum vs $400.80 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 |
|---|---|---|---|
| Optimum | MGMCR | $28.72 | — |
| Freedom Health | MGMCR | $28.72 | — |
| CorVel Corporation | WORKERSCOMP | $32.30 | — |
| Prime Health | WORKERSCOMP | $32.98 | — |
| CareWorks (Rockport) | WORKERSCOMP | $32.98 | — |
| BCBS | MBN | $34.40 | — |
| AvMed | HIX | $40.08 | — |
| Simply Healthcare Plans | MGMCR | $43.42 | — |
| BCBS | HMO | $43.75 | — |
| BCBS | SBN | $43.75 | — |
| Aetna | QHP | $44.76 | — |
| Simply Healthcare | HIX | $45.09 | — |
| Oscar | HIX | $53.44 | — |
| Freedom Health | MGMCD | $53.44 | — |
| Aetna | HMO | $56.45 | — |
| Molina | MCR | $56.78 | — |
| AmeriHealth Caritas | HIX | $56.78 | — |
| BCBS | NWB | $57.45 | — |
| BCBS | PPO | $57.45 | — |
| Aetna | PPO | $65.13 | — |
| Cigna | PPO | $70.14 | — |
| AvMed | FullyInsured | $70.14 | — |
| Cigna | HMO | $70.14 | — |
| Humana | HMO | $70.14 | — |
| Health Sun Health Plan | MGMCR | $71.14 | — |
| AIDS Healthcare | MGMCR | $73.48 | — |
| BCBS | BSLNON-PAR | $76.82 | — |
| BCBS | PHS | $76.82 | — |
| MMM of FL (Health Advantage Plan) | MCR | $76.82 | — |
| United PPO | OptionsPPO | $79.16 | — |
| AvMed | ASOEO | $80.16 | — |
| AvMed | Focus | $86.84 | — |
| Sunshine State Health Plan | QHP | $86.84 | — |
| AvMed | Select | $86.84 | — |
| AvMed | Empower | $86.84 | — |
| AvMed | Engage | $86.84 | — |
| AvMed | Flex | $86.84 | — |
| Molina | HIX | $90.18 | — |
| Aetna | ASA | $100.20 | — |
| Humana | PPO | $113.56 | — |
| United | GlobalBenefitPlanAppendix | $150.30 | — |
| Plotkin Health | COMM | $167.00 | — |
| AvMed | JHSSelectHMO | $167.00 | — |
| AvMed | JacksonFirstNetworkOON | $167.00 | — |
| AvMed | MDCSelectOON | $167.00 | — |
| Prime Health Sherriff | COMM | $167.00 | — |
| Medica HealthCare | MCR | $193.72 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $250.50 | — |
| Evernorth BH | COMM | $267.20 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $283.90 | — |
| AIDS Healthcare | MGMCD | $400.80 | — |
Visitor-reported prices
Comments
Manipulation chest wall demonstration/evaluation subsequent at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $235.02 | $131.99 – $231.89 |
| Adventhealth Lake Wales | Lake Wales | $820.32 | $138.94 – $308.45 |
| Adventhealth Palm Coast Parkway | Palm Coast | $231.45 | $131.99 – $296.76 |
| Adventhealth Tampa | Tampa | $389.59 | $138.94 – $308.45 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $206.00 | $131.99 – $303.51 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $240.00 | $29.45 – $30.07 |
| Adventhealth Port Charlotte | Port Charlotte | $311.44 | $138.94 – $253.70 |
| cleveland clinic florida weston hospital | Weston | $481.65 | $38.83 – $629.85 |