Antibody bacterium, not elsewhere specified at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$163.00
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.
$163.00
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.
$12.75 with HUMANA vs $195.60 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 |
|---|---|---|---|
| HUMANA | MGMCRHMO | $12.75 | ↓ -92% |
| HUMANA | MGMCRPPO | $12.75 | ↓ -92% |
| Humana | TRICR | $12.82 | ↓ -92% |
| Devoted Health | MCR | $12.88 | ↓ -92% |
| CarePlus SFL | MGMCR | $12.88 | ↓ -92% |
| Kindred Hospice | FEDERAL | $12.88 | ↓ -92% |
| United Behavioral Health | VACCN | $12.88 | ↓ -92% |
| Wellmed | MGMCR | $12.88 | ↓ -92% |
| Veterans Evaluation Services | MCR | $12.88 | ↓ -92% |
| United | AllPayerAppendix | $12.88 | ↓ -92% |
| United | GVT | $12.88 | ↓ -92% |
| Cigna HealthSpring | MGMCR | $12.88 | ↓ -92% |
| NDMS Definitive Care | MGMCR | $12.88 | ↓ -92% |
| Leon Health | MCR | $12.88 | ↓ -92% |
| United | MCR | $13.14 | ↓ -92% |
| BCBS | MCRHMO | $13.14 | ↓ -92% |
| BCBS | MCRPPO | $13.14 | ↓ -92% |
| Aetna | MCR | $13.27 | ↓ -92% |
| Prominence HealthFirst | MCRHMO | $13.52 | ↓ -92% |
| Sunshine State | MCR | $13.52 | ↓ -92% |
| Oscar | MCR | $13.52 | ↓ -92% |
| American Health Plan | MCR | $13.65 | ↓ -92% |
| Florida Complete Care | MCR | $13.78 | ↓ -92% |
| Align | MCR | $13.78 | ↓ -92% |
| AvMed | MCR | $13.91 | ↓ -91% |
| Optimum | MGMCR | $14.02 | ↓ -91% |
| Freedom Health | MGMCR | $14.02 | ↓ -91% |
| Doctors Healthcare Plan | MCR | $14.17 | ↓ -91% |
| Centurion | GVT | $14.17 | ↓ -91% |
| Sunshine State | MCD | $14.17 | ↓ -91% |
| Gold Kidney | MCR | $14.43 | ↓ -91% |
| AmeriHealth Caritas | MGMCR | $15.46 | ↓ -91% |
| Longevity Health Plan | MCR | $15.46 | ↓ -91% |
| Oscar | HIX | $18.16 | ↓ -89% |
| Solis Health Plan | MCR | $18.68 | ↓ -89% |
| AmeriHealth Caritas | HIX | $19.32 | ↓ -88% |
| AvMed | HIX | $19.56 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $21.19 | ↓ -87% |
| Freedom Health | MGMCD | $26.08 | ↓ -84% |
| Molina | MCR | $30.97 | ↓ -81% |
| Humana | HMO | $34.23 | ↓ -79% |
| AvMed | FullyInsured | $34.23 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $34.72 | ↓ -79% |
| AIDS Healthcare | MGMCR | $35.86 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $37.49 | ↓ -77% |
| United PPO | OptionsPPO | $38.63 | ↓ -76% |
| AvMed | ASOEO | $39.12 | ↓ -76% |
| AvMed | Engage | $42.38 | ↓ -74% |
| Sunshine State Health Plan | QHP | $42.38 | ↓ -74% |
| AvMed | Select | $42.38 | ↓ -74% |
| AvMed | Empower | $42.38 | ↓ -74% |
| AvMed | Flex | $42.38 | ↓ -74% |
| AvMed | Focus | $42.38 | ↓ -74% |
| Molina | HIX | $44.01 | ↓ -73% |
| Aetna | ASA | $48.90 | ↓ -70% |
| Humana | PPO | $55.42 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $73.35 | ↓ -55% |
| Plotkin Health | COMM | $81.50 | ↓ -50% |
| AvMed | MDCSelectOON | $81.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $81.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $81.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $81.50 | ↓ -50% |
| CorVel Corporation | WORKERSCOMP | $94.22 | ↓ -42% |
| Medica HealthCare | MCR | $96.17 | ↓ -41% |
| Prime Health | WORKERSCOMP | $96.20 | ↓ -41% |
| CareWorks (Rockport) | WORKERSCOMP | $96.20 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $122.25 | ↓ -25% |
| Evernorth BH | COMM | $130.40 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $138.55 | ↓ -15% |
| AIDS Healthcare | MGMCD | $195.60 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Antibody bacterium, not elsewhere specified at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $198.81 | $12.88 – $28.59 |
| Adventhealth Port Charlotte | Port Charlotte | $85.70 | $12.88 – $23.52 |
| cleveland clinic florida weston hospital | Weston | $45.50 | $4.75 – $19.00 |
| martin north hospital | Stuart | $50.05 | $5.50 – $18.98 |
| indian river hospital | Vero Beach | $79.95 | $5.23 – $98.40 |
| Boca Raton Regional Hospital | BOCA RATON | $127.40 | $12.88 – $51.59 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $19.06 | $11.33 – $32.20 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $93.36 | $12.88 – $48.44 |