Nqhp ol dig assmt&mgmt 5-10 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.89 with HUMANA vs $18.88 with Solis Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HUMANA | MGMCRHMO | $12.89 | — |
| HUMANA | MGMCRPPO | $12.89 | — |
| Devoted Health | MCR | $13.02 | — |
| United Behavioral Health | VACCN | $13.02 | — |
| United | GVT | $13.02 | — |
| Cigna HealthSpring | MGMCR | $13.02 | — |
| CarePlus SFL | MGMCR | $13.02 | — |
| Leon Health | MCR | $13.02 | — |
| NDMS Definitive Care | MGMCR | $13.02 | — |
| Veterans Evaluation Services | MCR | $13.02 | — |
| Wellmed | MGMCR | $13.02 | — |
| BCBS | MCRHMO | $13.28 | — |
| BCBS | MCRPPO | $13.28 | — |
| United | MCR | $13.28 | — |
| Aetna | MCR | $13.41 | — |
| Prominence HealthFirst | MCRHMO | $13.67 | — |
| Oscar | MCR | $13.67 | — |
| Sunshine State | MCR | $13.67 | — |
| American Health Plan | MCR | $13.80 | — |
| Align | MCR | $13.93 | — |
| Florida Complete Care | MCR | $13.93 | — |
| AvMed | MCR | $14.06 | — |
| Sunshine State | MCD | $14.32 | — |
| Centurion | GVT | $14.32 | — |
| Doctors Healthcare Plan | MCR | $14.32 | — |
| Gold Kidney | MCR | $14.58 | — |
| Longevity Health Plan | MCR | $15.62 | — |
| AmeriHealth Caritas | MGMCR | $15.62 | — |
| Solis Health Plan | MCR | $18.88 | — |
Visitor-reported prices
Comments
Nqhp ol dig assmt&mgmt 5-10 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $42.25 | $10.70 – $65.00 |
| martin north hospital | Stuart | $42.25 | $10.70 – $65.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $9.89 – $14.83 |
| indian river hospital | Vero Beach | not published | $14.49 – $21.04 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $12.36 – $17.92 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $12.05 – $18.39 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $10.85 – $28.25 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $11.30 – $20.91 |