Prgrmg eval implantable dfb at HCA FLORIDA AVENTURA HOSPITAL
18000 NW 57TH AVE, HIALEAH, FL · HCA Florida Healthcare · · NPI 1407801673
$131.00
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.
$131.00
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.
$11.27 with Optimum vs $157.20 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 | $11.27 | ↓ -91% |
| Freedom Health | MGMCR | $11.27 | ↓ -91% |
| AvMed | HIX | $15.72 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $17.03 | ↓ -87% |
| Simply Healthcare | HIX | $17.68 | ↓ -87% |
| Oscar | HIX | $20.96 | ↓ -84% |
| Freedom Health | MGMCD | $20.96 | ↓ -84% |
| Molina | MCR | $22.27 | ↓ -83% |
| AmeriHealth Caritas | HIX | $22.27 | ↓ -83% |
| Cigna | PPO | $27.51 | ↓ -79% |
| AvMed | FullyInsured | $27.51 | ↓ -79% |
| Cigna | HMO | $27.51 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $27.90 | ↓ -79% |
| AIDS Healthcare | MGMCR | $28.82 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $30.13 | ↓ -77% |
| United PPO | OptionsPPO | $31.05 | ↓ -76% |
| AvMed | ASOEO | $31.44 | ↓ -76% |
| AvMed | Empower | $34.06 | ↓ -74% |
| AvMed | Select | $34.06 | ↓ -74% |
| AvMed | Engage | $34.06 | ↓ -74% |
| AvMed | Flex | $34.06 | ↓ -74% |
| AvMed | Focus | $34.06 | ↓ -74% |
| CorVel Corporation | WORKERSCOMP | $34.20 | ↓ -74% |
| Prime Health | WORKERSCOMP | $34.92 | ↓ -73% |
| CareWorks (Rockport) | WORKERSCOMP | $34.92 | ↓ -73% |
| Molina | HIX | $35.37 | ↓ -73% |
| Aetna | ASA | $39.30 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $58.95 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $65.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $65.50 | ↓ -50% |
| Plotkin Health | COMM | $65.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $65.50 | ↓ -50% |
| AvMed | MDCSelectOON | $65.50 | ↓ -50% |
| Medica HealthCare | MCR | $75.98 | ↓ -42% |
| Multiplan | COMMPPOPRIMARYNETWORK | $98.25 | ↓ -25% |
| Evernorth BH | COMM | $104.80 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $111.35 | ↓ -15% |
| AIDS Healthcare | MGMCD | $157.20 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $132.07 | not published |
| Adventhealth Tampa | Tampa | $461.09 | not published |
| cleveland clinic florida weston hospital | Weston | $417.30 | $17.95 – $268.00 |
| martin north hospital | Stuart | $417.30 | $22.26 – $374.00 |
| indian river hospital | Vero Beach | $243.10 | $21.15 – $374.00 |
| Baptist Hospital | MIAMI | $445.90 | $22.77 – $617.40 |
| Bethesda Hospital East | BOYNTON BEACH | $445.90 | $22.77 – $617.40 |
| Boca Raton Regional Hospital | BOCA RATON | $379.60 | $38.27 – $381.35 |