Anal/urinary muscle study 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.
$118.47 with Aetna vs $6,802.00 with Cigna — 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 |
|---|---|---|---|
| Aetna | QHP | $118.47 | — |
| Freedom Health | MGMCD | $130.72 | — |
| Oscar | HIX | $130.72 | — |
| Aetna | HMO | $138.07 | — |
| AmeriHealth Caritas | HIX | $138.89 | — |
| Aetna | PPO | $159.31 | — |
| Health Sun Health Plan | MGMCR | $174.02 | — |
| United PPO | OptionsPPO | $193.63 | — |
| Sunshine State Health Plan | QHP | $212.42 | — |
| Molina | HIX | $220.59 | — |
| Aetna | ASA | $245.10 | — |
| United | GlobalBenefitPlanAppendix | $367.65 | — |
| AvMed | JacksonFirstNetworkOON | $408.50 | — |
| Plotkin Health | COMM | $408.50 | — |
| AvMed | JHSSelectHMO | $408.50 | — |
| AvMed | MDCSelectOON | $408.50 | — |
| Prime Health Sherriff | COMM | $408.50 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $612.75 | — |
| Evernorth BH | COMM | $653.60 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $694.45 | — |
| AIDS Healthcare | MGMCD | $980.40 | — |
| BCBS | MBN | $1,438.00 | — |
| BCBS | SBN | $1,794.00 | — |
| BCBS | HMO | $1,794.00 | — |
| BCBS | PPO | $1,812.00 | — |
| BCBS | NWB | $1,812.00 | — |
| Molina | MCR | $1,950.00 | — |
| United | AllPayerAppendix | $2,020.00 | — |
| Simply Healthcare Plans | MGMCR | $2,160.00 | — |
| MMM of FL (Health Advantage Plan) | MCR | $2,250.00 | — |
| Freedom Health | MGMCR | $2,350.00 | — |
| Optimum | MGMCR | $2,350.00 | — |
| BCBS | BSLNON-PAR | $2,508.00 | — |
| BCBS | PHS | $2,508.00 | — |
| Medica HealthCare | MCR | $2,850.00 | — |
| CorVel Corporation | WORKERSCOMP | $3,498.74 | — |
| CareWorks (Rockport) | WORKERSCOMP | $3,572.39 | — |
| Prime Health | WORKERSCOMP | $3,572.39 | — |
| Cigna | PPO | $6,802.00 | — |
| Cigna | HMO | $6,802.00 | — |
| AvMed | Empower | not published by hospital | — |
| AvMed | Engage | not published by hospital | — |
| AvMed | Select | not published by hospital | — |
| AvMed | Flex | not published by hospital | — |
| AvMed | Focus | not published by hospital | — |
Visitor-reported prices
Comments
Anal/urinary muscle study at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $789.10 | $85.02 – $1,092.60 |
| Adventhealth Tampa | Tampa | $1,707.79 | $134.37 – $298.30 |
| cleveland clinic florida weston hospital | Weston | $799.50 | $36.73 – $765.00 |
| martin north hospital | Stuart | $799.50 | $38.57 – $450.00 |
| indian river hospital | Vero Beach | $585.00 | $49.02 – $720.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $789.10 | $82.42 – $1,092.60 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION | $789.00 | $3,527.64 – $3,601.90 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $879.00 | $3,527.64 – $3,601.90 |