3-d radiotherapy plan at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
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.
$1,177.60 with Freedom Health vs $16,431.60 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $1,177.60 | — |
| Optimum | MGMCR | $1,177.60 | — |
| AvMed | HIX | $1,643.16 | — |
| CorVel Corporation | WORKERSCOMP | $1,835.22 | — |
| Prime Health | WORKERSCOMP | $1,873.86 | — |
| CareWorks (Rockport) | WORKERSCOMP | $1,873.86 | — |
| Freedom Health | MGMCD | $2,190.88 | — |
| Oscar | HIX | $2,190.88 | — |
| AmeriHealth Caritas | HIX | $2,327.81 | — |
| Cigna | HMO | $2,875.53 | — |
| Humana | HMO | $2,875.53 | — |
| AvMed | FullyInsured | $2,875.53 | — |
| Cigna | PPO | $2,875.53 | — |
| United PPO | OptionsPPO | $3,245.24 | — |
| AvMed | ASOEO | $3,286.32 | — |
| Sunshine State Health Plan | QHP | $3,560.18 | — |
| AvMed | Select | $3,560.18 | — |
| AvMed | Empower | $3,560.18 | — |
| AvMed | Engage | $3,560.18 | — |
| AvMed | Flex | $3,560.18 | — |
| AvMed | Focus | $3,560.18 | — |
| Molina | HIX | $3,697.11 | — |
| Aetna | ASA | $4,107.90 | — |
| Humana | PPO | $4,655.62 | — |
| Molina | MCR | $6,000.00 | — |
| United | GlobalBenefitPlanAppendix | $6,161.85 | — |
| AvMed | JHSSelectHMO | $6,846.50 | — |
| Prime Health Sherriff | COMM | $6,846.50 | — |
| Plotkin Health | COMM | $6,846.50 | — |
| AvMed | JacksonFirstNetworkOON | $6,846.50 | — |
| AvMed | MDCSelectOON | $6,846.50 | — |
| Medica HealthCare | MCR | $8,078.87 | — |
| AIDS Healthcare | MGMCR | $9,500.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $10,269.75 | — |
| MMM of FL (Health Advantage Plan) | MCR | $10,400.00 | — |
| Evernorth BH | COMM | $10,954.40 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $11,639.05 | — |
| AIDS Healthcare | MGMCD | $16,431.60 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
3-d radiotherapy plan at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $5,820.75 | $173.17 – $6,808.50 |
| Adventhealth Daytona Beach | Daytona Beach | $6,347.06 | $1,373.15 – $2,412.40 |
| Adventhealth Palm Coast Parkway | Palm Coast | $6,565.40 | not published |
| Adventhealth Tampa | Tampa | $11,229.12 | $1,445.42 – $3,208.83 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $8,244.55 | $1,373.15 – $3,157.52 |
| Adventhealth Port Charlotte | Port Charlotte | $5,619.54 | not published |
| cleveland clinic florida weston hospital | Weston | $8,897.85 | $191.22 – $10,030.85 |
| martin north hospital | Stuart | $8,897.85 | $171.09 – $5,900.50 |