X-ray surgical specimen 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.
$34.66 with Freedom Health vs $1,086.50 with United — 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $34.66 | — |
| Optimum | MGMCR | $34.66 | — |
| AvMed | HIX | $48.36 | — |
| Simply Healthcare Plans | MGMCR | $52.39 | — |
| Freedom Health | MGMCD | $64.48 | — |
| Molina | MCR | $68.51 | — |
| Humana | HMO | $84.63 | — |
| AvMed | FullyInsured | $84.63 | — |
| Health Sun Health Plan | MGMCR | $85.84 | — |
| AIDS Healthcare | MGMCR | $88.66 | — |
| MMM of FL (Health Advantage Plan) | MCR | $92.69 | — |
| United PPO | OptionsPPO | $95.51 | — |
| AvMed | ASOEO | $96.72 | — |
| AvMed | Focus | $104.78 | — |
| AvMed | Flex | $104.78 | — |
| AvMed | Engage | $104.78 | — |
| AvMed | Empower | $104.78 | — |
| Sunshine State Health Plan | QHP | $104.78 | — |
| AvMed | Select | $104.78 | — |
| Molina | HIX | $108.81 | — |
| Aetna | ASA | $120.90 | — |
| Humana | PPO | $137.02 | — |
| United | GlobalBenefitPlanAppendix | $181.35 | — |
| AvMed | JacksonFirstNetworkOON | $201.50 | — |
| Prime Health Sherriff | COMM | $201.50 | — |
| Plotkin Health | COMM | $201.50 | — |
| AvMed | JHSSelectHMO | $201.50 | — |
| AvMed | MDCSelectOON | $201.50 | — |
| Medica HealthCare | MCR | $233.74 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $302.25 | — |
| Evernorth BH | COMM | $322.40 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $342.55 | — |
| CorVel Corporation | WORKERSCOMP | $362.23 | — |
| CareWorks (Rockport) | WORKERSCOMP | $369.85 | — |
| Prime Health | WORKERSCOMP | $369.85 | — |
| AIDS Healthcare | MGMCD | $483.60 | — |
| United | AllPayerAppendix | $1,086.50 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
X-ray surgical specimen at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,428.17 | $523.23 – $952.35 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,428.17 | $472.40 – $1,218.77 |
| Adventhealth Tampa | Tampa | $1,837.79 | $424.56 – $1,266.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,564.18 | $542.08 – $1,246.50 |
| Adventhealth Port Charlotte | Port Charlotte | $3,221.47 | $443.70 – $1,041.93 |
| cleveland clinic florida weston hospital | Weston | $3,154.45 | $6.68 – $4,019.65 |
| martin north hospital | Stuart | $3,154.45 | $5.97 – $2,364.50 |
| indian river hospital | Vero Beach | $3,073.85 | $6.13 – $3,783.20 |