Ortho hnd/fngr without jnt cstm w/fit&adj 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.
$295.44 with Humana vs $441.64 with Solis Health Plan — 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 |
|---|---|---|---|
| Humana | TRICR | $295.44 | — |
| HUMANA | MGMCRHMO | $301.53 | — |
| HUMANA | MGMCRPPO | $301.53 | — |
| Devoted Health | MCR | $304.58 | — |
| United Behavioral Health | VACCN | $304.58 | — |
| United | GVT | $304.58 | — |
| Cigna HealthSpring | MGMCR | $304.58 | — |
| CarePlus SFL | MGMCR | $304.58 | — |
| Leon Health | MCR | $304.58 | — |
| NDMS Definitive Care | MGMCR | $304.58 | — |
| Veterans Evaluation Services | MCR | $304.58 | — |
| Wellmed | MGMCR | $304.58 | — |
| BCBS | MCRHMO | $310.67 | — |
| BCBS | MCRPPO | $310.67 | — |
| United | MCR | $310.67 | — |
| Aetna | MCR | $313.72 | — |
| Prominence HealthFirst | MCRHMO | $319.81 | — |
| Oscar | MCR | $319.81 | — |
| Sunshine State | MCR | $319.81 | — |
| American Health Plan | MCR | $322.85 | — |
| Align | MCR | $325.90 | — |
| Florida Complete Care | MCR | $325.90 | — |
| AvMed | MCR | $328.95 | — |
| Sunshine State | MCD | $335.04 | — |
| Centurion | GVT | $335.04 | — |
| Doctors Healthcare Plan | MCR | $335.04 | — |
| Gold Kidney | MCR | $341.13 | — |
| Longevity Health Plan | MCR | $365.50 | — |
| AmeriHealth Caritas | MGMCR | $365.50 | — |
| Solis Health Plan | MCR | $441.64 | — |
Visitor-reported prices
Comments
Ortho hnd/fngr without jnt cstm w/fit&adj at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Lake Wales | Lake Wales | $918.57 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,059.41 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,059.41 | not published |
| Adventhealth Palm Coast | Palm Coast | $1,059.41 | not published |
| Adventhealth Waterman | Tavares | $1,513.43 | not published |
| AdventHealth Orlando | Orlando | $663.00 | $304.58 – $807.14 |
| Adventhealth Carrollwood | Tampa | $1,513.43 | not published |
| Adventhealth Sebring | Sebring | $1,477.39 | not published |