Alt/sgpt at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$1,199.00
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.
$1,199.00
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.
$5.25 with HUMANA vs $1,438.80 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 |
|---|---|---|---|
| HUMANA | MGMCRPPO | $5.25 | ↓ -100% |
| HUMANA | MGMCRHMO | $5.25 | ↓ -100% |
| Humana | TRICR | $5.28 | ↓ -100% |
| Cigna HealthSpring | MGMCR | $5.30 | ↓ -100% |
| NDMS Definitive Care | MGMCR | $5.30 | ↓ -100% |
| Kindred Hospice | FEDERAL | $5.30 | ↓ -100% |
| Wellmed | MGMCR | $5.30 | ↓ -100% |
| United | GVT | $5.30 | ↓ -100% |
| United | AllPayerAppendix | $5.30 | ↓ -100% |
| Leon Health | MCR | $5.30 | ↓ -100% |
| Veterans Evaluation Services | MCR | $5.30 | ↓ -100% |
| Devoted Health | MCR | $5.30 | ↓ -100% |
| CarePlus SFL | MGMCR | $5.30 | ↓ -100% |
| United Behavioral Health | VACCN | $5.30 | ↓ -100% |
| BCBS | MCRHMO | $5.41 | ↓ -100% |
| BCBS | MCRPPO | $5.41 | ↓ -100% |
| United | MCR | $5.41 | ↓ -100% |
| Aetna | MCR | $5.46 | ↓ -100% |
| Oscar | MCR | $5.57 | ↓ -100% |
| Sunshine State | MCR | $5.57 | ↓ -100% |
| Prominence HealthFirst | MCRHMO | $5.57 | ↓ -100% |
| American Health Plan | MCR | $5.62 | ↓ -100% |
| Florida Complete Care | MCR | $5.67 | ↓ -100% |
| Align | MCR | $5.67 | ↓ -100% |
| AvMed | MCR | $5.72 | ↓ -100% |
| Centurion | GVT | $5.83 | ↓ -100% |
| Doctors Healthcare Plan | MCR | $5.83 | ↓ -100% |
| Sunshine State | MCD | $5.83 | ↓ -100% |
| Gold Kidney | MCR | $5.94 | ↓ -100% |
| Longevity Health Plan | MCR | $6.36 | ↓ -99% |
| AmeriHealth Caritas | MGMCR | $6.36 | ↓ -99% |
| Oscar | HIX | $7.47 | ↓ -99% |
| Solis Health Plan | MCR | $7.68 | ↓ -99% |
| AmeriHealth Caritas | HIX | $7.95 | ↓ -99% |
| Optimum | MGMCR | $103.11 | ↓ -91% |
| Freedom Health | MGMCR | $103.11 | ↓ -91% |
| AvMed | HIX | $143.88 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $155.87 | ↓ -87% |
| CorVel Corporation | WORKERSCOMP | $163.31 | ↓ -86% |
| CareWorks (Rockport) | WORKERSCOMP | $166.75 | ↓ -86% |
| Prime Health | WORKERSCOMP | $166.75 | ↓ -86% |
| Freedom Health | MGMCD | $191.84 | ↓ -84% |
| Molina | MCR | $227.81 | ↓ -81% |
| AvMed | FullyInsured | $251.79 | ↓ -79% |
| Humana | HMO | $251.79 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $255.39 | ↓ -79% |
| AIDS Healthcare | MGMCR | $263.78 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $275.77 | ↓ -77% |
| United PPO | OptionsPPO | $284.16 | ↓ -76% |
| AvMed | ASOEO | $287.76 | ↓ -76% |
| AvMed | Select | $311.74 | ↓ -74% |
| AvMed | Empower | $311.74 | ↓ -74% |
| AvMed | Engage | $311.74 | ↓ -74% |
| AvMed | Flex | $311.74 | ↓ -74% |
| AvMed | Focus | $311.74 | ↓ -74% |
| Sunshine State Health Plan | QHP | $311.74 | ↓ -74% |
| Molina | HIX | $323.73 | ↓ -73% |
| Aetna | ASA | $359.70 | ↓ -70% |
| Humana | PPO | $407.66 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $539.55 | ↓ -55% |
| Prime Health Sherriff | COMM | $599.50 | ↓ -50% |
| AvMed | MDCSelectOON | $599.50 | ↓ -50% |
| Plotkin Health | COMM | $599.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $599.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $599.50 | ↓ -50% |
| Medica HealthCare | MCR | $707.41 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $899.25 | ↓ -25% |
| Evernorth BH | COMM | $959.20 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,019.15 | ↓ -15% |
| AIDS Healthcare | MGMCD | $1,438.80 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Alt/sgpt at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $54.60 | $2.85 – $53.10 |
| West Kendall Baptist Hospital | MIAMI | $54.60 | $2.76 – $53.10 |
| Adventhealth Daytona Beach | Daytona Beach | $134.26 | $5.03 – $8.85 |
| Adventhealth Lake Wales | Lake Wales | $457.33 | $5.30 – $11.77 |
| Adventhealth Palm Coast Parkway | Palm Coast | $144.20 | $5.04 – $11.32 |
| Adventhealth Tampa | Tampa | $405.01 | $5.30 – $11.77 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $98.06 | $5.03 – $11.58 |
| Adventhealth Port Charlotte | Port Charlotte | $39.40 | $5.30 – $9.68 |