Bundled special stain group 1 microorganisms 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.
$49.76 with United vs $942.00 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 |
|---|---|---|---|
| United | AllPayerAppendix | $49.76 | — |
| Optimum | MGMCR | $67.51 | — |
| Freedom Health | MGMCR | $67.51 | — |
| AvMed | HIX | $94.20 | — |
| Simply Healthcare Plans | MGMCR | $102.05 | — |
| Oscar | HIX | $125.60 | — |
| Freedom Health | MGMCD | $125.60 | — |
| AmeriHealth Caritas | HIX | $133.45 | — |
| Molina | MCR | $149.15 | — |
| AvMed | FullyInsured | $164.85 | — |
| Humana | HMO | $164.85 | — |
| Health Sun Health Plan | MGMCR | $167.21 | — |
| AIDS Healthcare | MGMCR | $172.70 | — |
| MMM of FL (Health Advantage Plan) | MCR | $180.55 | — |
| CorVel Corporation | WORKERSCOMP | $181.12 | — |
| CareWorks (Rockport) | WORKERSCOMP | $184.93 | — |
| Prime Health | WORKERSCOMP | $184.93 | — |
| United PPO | OptionsPPO | $186.04 | — |
| AvMed | ASOEO | $188.40 | — |
| AvMed | Empower | $204.10 | — |
| AvMed | Focus | $204.10 | — |
| Sunshine State Health Plan | QHP | $204.10 | — |
| AvMed | Flex | $204.10 | — |
| AvMed | Select | $204.10 | — |
| AvMed | Engage | $204.10 | — |
| Molina | HIX | $211.95 | — |
| Aetna | ASA | $235.50 | — |
| Humana | PPO | $266.90 | — |
| United | GlobalBenefitPlanAppendix | $353.25 | — |
| Prime Health Sherriff | COMM | $392.50 | — |
| AvMed | MDCSelectOON | $392.50 | — |
| Plotkin Health | COMM | $392.50 | — |
| AvMed | JHSSelectHMO | $392.50 | — |
| AvMed | JacksonFirstNetworkOON | $392.50 | — |
| Medica HealthCare | MCR | $463.15 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $588.75 | — |
| Evernorth BH | COMM | $628.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $667.25 | — |
| AIDS Healthcare | MGMCD | $942.00 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Bundled special stain group 1 microorganisms at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $248.95 | $20.65 – $122.40 |
| West Kendall Baptist Hospital | MIAMI | $248.95 | $20.02 – $122.40 |
| Adventhealth Daytona Beach | Daytona Beach | $272.50 | $51.70 – $90.82 |
| Adventhealth Lake Wales | Lake Wales | $176.24 | $54.42 – $120.81 |
| Adventhealth Palm Coast Parkway | Palm Coast | $176.24 | $51.70 – $116.23 |
| Adventhealth Tampa | Tampa | $612.08 | $54.42 – $120.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $194.19 | $51.70 – $118.88 |
| Adventhealth Port Charlotte | Port Charlotte | $244.97 | $54.42 – $99.37 |