#acylcarnitineprfl at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$15.00
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.
$15.00
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.
$1.29 with Optimum vs $82.30 with CareWorks (Rockport) — 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 | $1.29 | ↓ -91% |
| Freedom Health | MGMCR | $1.29 | ↓ -91% |
| AvMed | HIX | $1.80 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $1.95 | ↓ -87% |
| Freedom Health | MGMCD | $2.40 | ↓ -84% |
| Molina | MCR | $2.85 | ↓ -81% |
| AvMed | FullyInsured | $3.15 | ↓ -79% |
| Humana | HMO | $3.15 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $3.19 | ↓ -79% |
| AIDS Healthcare | MGMCR | $3.30 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $3.45 | ↓ -77% |
| United PPO | OptionsPPO | $3.56 | ↓ -76% |
| AvMed | ASOEO | $3.60 | ↓ -76% |
| AvMed | Focus | $3.90 | ↓ -74% |
| AvMed | Flex | $3.90 | ↓ -74% |
| AvMed | Engage | $3.90 | ↓ -74% |
| AvMed | Select | $3.90 | ↓ -74% |
| Sunshine State Health Plan | QHP | $3.90 | ↓ -74% |
| AvMed | Empower | $3.90 | ↓ -74% |
| Molina | HIX | $4.05 | ↓ -73% |
| Aetna | ASA | $4.50 | ↓ -70% |
| Humana | PPO | $5.10 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $6.75 | ↓ -55% |
| AvMed | JHSSelectHMO | $7.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $7.50 | ↓ -50% |
| AvMed | MDCSelectOON | $7.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $7.50 | ↓ -50% |
| Plotkin Health | COMM | $7.50 | ↓ -50% |
| Medica HealthCare | MCR | $8.85 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $11.25 | ↓ -25% |
| Evernorth BH | COMM | $12.00 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $12.75 | ↓ -15% |
| HUMANA | MGMCRPPO | $16.70 | ↑ +11% |
| HUMANA | MGMCRHMO | $16.70 | ↑ +11% |
| Humana | TRICR | $16.80 | ↑ +12% |
| United Behavioral Health | VACCN | $16.87 | ↑ +12% |
| CarePlus SFL | MGMCR | $16.87 | ↑ +12% |
| Cigna HealthSpring | MGMCR | $16.87 | ↑ +12% |
| United | GVT | $16.87 | ↑ +12% |
| Kindred Hospice | FEDERAL | $16.87 | ↑ +12% |
| United | AllPayerAppendix | $16.87 | ↑ +12% |
| Wellmed | MGMCR | $16.87 | ↑ +12% |
| Veterans Evaluation Services | MCR | $16.87 | ↑ +12% |
| Devoted Health | MCR | $16.87 | ↑ +12% |
| Leon Health | MCR | $16.87 | ↑ +12% |
| NDMS Definitive Care | MGMCR | $16.87 | ↑ +12% |
| United | MCR | $17.21 | ↑ +15% |
| BCBS | MCRHMO | $17.21 | ↑ +15% |
| BCBS | MCRPPO | $17.21 | ↑ +15% |
| Aetna | MCR | $17.38 | ↑ +16% |
| Oscar | MCR | $17.71 | ↑ +18% |
| Sunshine State | MCR | $17.71 | ↑ +18% |
| Prominence HealthFirst | MCRHMO | $17.71 | ↑ +18% |
| American Health Plan | MCR | $17.88 | ↑ +19% |
| AIDS Healthcare | MGMCD | $18.00 | ↑ +20% |
| Align | MCR | $18.05 | ↑ +20% |
| Florida Complete Care | MCR | $18.05 | ↑ +20% |
| AvMed | MCR | $18.22 | ↑ +21% |
| Sunshine State | MCD | $18.56 | ↑ +24% |
| Doctors Healthcare Plan | MCR | $18.56 | ↑ +24% |
| Centurion | GVT | $18.56 | ↑ +24% |
| Gold Kidney | MCR | $18.89 | ↑ +26% |
| Longevity Health Plan | MCR | $20.24 | ↑ +35% |
| AmeriHealth Caritas | MGMCR | $20.24 | ↑ +35% |
| Oscar | HIX | $23.79 | ↑ +59% |
| Solis Health Plan | MCR | $24.46 | ↑ +63% |
| AmeriHealth Caritas | HIX | $25.30 | ↑ +69% |
| CorVel Corporation | WORKERSCOMP | $80.61 | ↑ +437% |
| Prime Health | WORKERSCOMP | $82.30 | ↑ +449% |
| CareWorks (Rockport) | WORKERSCOMP | $82.30 | ↑ +449% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
#acylcarnitineprfl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $24.70 | $3.64 – $34.20 |
| West Kendall Baptist Hospital | MIAMI | $24.70 | $6.12 – $34.20 |
| Adventhealth Daytona Beach | Daytona Beach | $211.20 | $16.03 – $28.16 |
| Adventhealth Tampa | Tampa | $260.39 | $16.87 – $37.45 |
| Adventhealth Port Charlotte | Port Charlotte | $504.80 | $16.87 – $30.80 |
| cleveland clinic florida weston hospital | Weston | $361.40 | $5.78 – $87.55 |
| martin north hospital | Stuart | $361.40 | $6.08 – $77.25 |
| indian river hospital | Vero Beach | $198.25 | $5.78 – $82.40 |