Surgical pathology level 4 gross & microscopic examination at HCA FLORIDA AVENTURA HOSPITAL
18000 NW 57TH AVE, HIALEAH, FL · HCA Florida Healthcare · · NPI 1407801673
$1,393.00
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.
$1,393.00
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.
$49.76 with United vs $1,671.60 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 |
|---|---|---|---|
| United | AllPayerAppendix | $49.76 | ↓ -96% |
| Optimum | MGMCR | $119.80 | ↓ -91% |
| Freedom Health | MGMCR | $119.80 | ↓ -91% |
| AvMed | HIX | $167.16 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $181.09 | ↓ -87% |
| Simply Healthcare | HIX | $188.06 | ↓ -86% |
| Freedom Health | MGMCD | $222.88 | ↓ -84% |
| Oscar | HIX | $222.88 | ↓ -84% |
| AmeriHealth Caritas | HIX | $236.81 | ↓ -83% |
| Molina | MCR | $236.81 | ↓ -83% |
| Humana | HMO | $292.53 | ↓ -79% |
| AvMed | FullyInsured | $292.53 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $296.71 | ↓ -79% |
| AIDS Healthcare | MGMCR | $306.46 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $320.39 | ↓ -77% |
| United PPO | OptionsPPO | $330.14 | ↓ -76% |
| AvMed | ASOEO | $334.32 | ↓ -76% |
| Sunshine State Health Plan | QHP | $362.18 | ↓ -74% |
| AvMed | Select | $362.18 | ↓ -74% |
| AvMed | Empower | $362.18 | ↓ -74% |
| AvMed | Engage | $362.18 | ↓ -74% |
| AvMed | Flex | $362.18 | ↓ -74% |
| AvMed | Focus | $362.18 | ↓ -74% |
| Molina | HIX | $376.11 | ↓ -73% |
| Aetna | ASA | $417.90 | ↓ -70% |
| Humana | PPO | $473.62 | ↓ -66% |
| CorVel Corporation | WORKERSCOMP | $507.75 | ↓ -64% |
| CareWorks (Rockport) | WORKERSCOMP | $518.44 | ↓ -63% |
| Prime Health | WORKERSCOMP | $518.44 | ↓ -63% |
| United | GlobalBenefitPlanAppendix | $626.85 | ↓ -55% |
| Plotkin Health | COMM | $696.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $696.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $696.50 | ↓ -50% |
| AvMed | MDCSelectOON | $696.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $696.50 | ↓ -50% |
| Medica HealthCare | MCR | $807.94 | ↓ -42% |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,044.75 | ↓ -25% |
| Evernorth BH | COMM | $1,114.40 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,184.05 | ↓ -15% |
| AIDS Healthcare | MGMCD | $1,671.60 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $557.21 | $51.70 – $90.82 |
| Adventhealth Lake Wales | Lake Wales | $157.26 | $54.42 – $120.81 |
| Adventhealth Palm Coast Parkway | Palm Coast | $405.00 | $51.70 – $116.23 |
| Adventhealth Tampa | Tampa | $1,206.51 | $54.42 – $120.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $463.46 | $51.70 – $118.88 |
| Adventhealth Port Charlotte | Port Charlotte | $405.00 | $54.42 – $99.37 |
| indian river hospital | Vero Beach | $209.95 | $19.72 – $323.00 |
| Baptist Hospital | MIAMI | $560.30 | $15.22 – $79.20 |