Abscess drain retroperitoneal surg code 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.
$1,950.00 with Molina vs $9,160.00 with AvMed — 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 |
|---|---|---|---|
| Molina | MCR | $1,950.00 | — |
| Health Sun Health Plan | MGMCR | $2,050.00 | — |
| Simply Healthcare Plans | MGMCR | $2,160.00 | — |
| MMM of FL (Health Advantage Plan) | MCR | $2,250.00 | — |
| Optimum | MGMCR | $2,350.00 | — |
| Freedom Health | MGMCR | $2,350.00 | — |
| AIDS Healthcare | MGMCR | $2,450.00 | — |
| Molina | HIX | $2,702.00 | — |
| Medica HealthCare | MCR | $2,850.00 | — |
| Oscar | HIX | $3,120.00 | — |
| BCBS | MBN | $3,916.00 | — |
| AvMed | HIX | $4,175.00 | — |
| CorVel Corporation | WORKERSCOMP | $4,545.64 | — |
| CareWorks (Rockport) | WORKERSCOMP | $4,641.33 | — |
| Prime Health | WORKERSCOMP | $4,641.33 | — |
| BCBS | HMO | $4,702.00 | — |
| BCBS | SBN | $4,702.00 | — |
| BCBS | PPO | $4,773.00 | — |
| BCBS | NWB | $4,773.00 | — |
| United | AllPayerAppendix | $5,371.00 | — |
| AmeriHealth Caritas | HIX | $5,414.00 | — |
| BCBS | PHS | $6,269.00 | — |
| BCBS | BSLNON-PAR | $6,269.00 | — |
| Cigna | PPO | $6,802.00 | — |
| Cigna | HMO | $6,802.00 | — |
| AvMed | FullyInsured | $8,338.00 | — |
| AvMed | ASOEO | $9,160.00 | — |
| AvMed | Focus | not published by hospital | — |
| AvMed | Empower | not published by hospital | — |
| AvMed | Flex | not published by hospital | — |
| AvMed | Engage | not published by hospital | — |
| AvMed | Select | not published by hospital | — |
Visitor-reported prices
Comments
Abscess drain retroperitoneal surg code at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $2,250.30 | $173.17 – $3,115.80 |
| West Kendall Baptist Hospital | MIAMI | $2,250.30 | $452.49 – $3,115.80 |
| Adventhealth Daytona Beach | Daytona Beach | $5,498.39 | $1,638.49 – $2,878.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,744.15 | $1,638.49 – $3,683.85 |
| Adventhealth Tampa | Tampa | $7,621.45 | $1,724.73 – $3,828.90 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $4,759.83 | $1,638.49 – $3,767.67 |
| Adventhealth Port Charlotte | Port Charlotte | $9,867.86 | $1,724.73 – $3,149.35 |
| cleveland clinic florida weston hospital | Weston | $6,055.40 | $157.23 – $7,918.60 |