Bld prd mix 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.
$12.21 with Freedom Health vs $170.40 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $12.21 | — |
| Optimum | MGMCR | $12.21 | — |
| BCBS | MBN | $14.20 | — |
| AvMed | HIX | $17.04 | — |
| BCBS | HMO | $17.75 | — |
| BCBS | SBN | $17.75 | — |
| Simply Healthcare Plans | MGMCR | $18.46 | — |
| Freedom Health | MGMCD | $22.72 | — |
| Oscar | HIX | $22.72 | — |
| BCBS | PPO | $23.15 | — |
| BCBS | NWB | $23.15 | — |
| AmeriHealth Caritas | HIX | $24.14 | — |
| Molina | MCR | $26.98 | — |
| Cigna | HMO | $29.82 | — |
| AvMed | FullyInsured | $29.82 | — |
| Cigna | PPO | $29.82 | — |
| Humana | HMO | $29.82 | — |
| Health Sun Health Plan | MGMCR | $30.25 | — |
| AIDS Healthcare | MGMCR | $31.24 | — |
| BCBS | PHS | $32.09 | — |
| BCBS | BSLNON-PAR | $32.09 | — |
| MMM of FL (Health Advantage Plan) | MCR | $32.66 | — |
| United PPO | OptionsPPO | $33.65 | — |
| AvMed | ASOEO | $34.08 | — |
| AvMed | Focus | $36.92 | — |
| Sunshine State Health Plan | QHP | $36.92 | — |
| AvMed | Select | $36.92 | — |
| AvMed | Empower | $36.92 | — |
| AvMed | Engage | $36.92 | — |
| AvMed | Flex | $36.92 | — |
| Molina | HIX | $38.34 | — |
| Aetna | ASA | $42.60 | — |
| Humana | PPO | $48.28 | — |
| United | GlobalBenefitPlanAppendix | $63.90 | — |
| Plotkin Health | COMM | $71.00 | — |
| AvMed | MDCSelectOON | $71.00 | — |
| AvMed | JHSSelectHMO | $71.00 | — |
| Prime Health Sherriff | COMM | $71.00 | — |
| AvMed | JacksonFirstNetworkOON | $71.00 | — |
| Medica HealthCare | MCR | $83.78 | — |
| CorVel Corporation | WORKERSCOMP | $86.90 | — |
| Prime Health | WORKERSCOMP | $88.73 | — |
| CareWorks (Rockport) | WORKERSCOMP | $88.73 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $106.50 | — |
| Evernorth BH | COMM | $113.60 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $120.70 | — |
| United | AllPayerAppendix | $149.16 | — |
| AIDS Healthcare | MGMCD | $170.40 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Bld prd mix at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $40.95 | $4.32 – $199.26 |
| West Kendall Baptist Hospital | MIAMI | $40.95 | $10.77 – $199.26 |
| Adventhealth Port Charlotte | Port Charlotte | $1,101.73 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $117.00 | $46.62 – $195.71 |
| martin north hospital | Stuart | $117.00 | $50.94 – $195.71 |
| Bethesda Hospital East | BOYNTON BEACH | $40.95 | $12.66 – $185.03 |
| Boca Raton Regional Hospital | BOCA RATON | $349.05 | $27.51 – $298.42 |
| Doctors Hospital | CORAL GABLES | $40.95 | $11.03 – $199.26 |