Cholangiography and/or pancreatography intraoperative supervision & interpretation 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.
$280.55 with Aetna vs $4,879.20 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 |
|---|---|---|---|
| Aetna | MCR | $280.55 | — |
| BCBS | MCRHMO | $296.82 | — |
| Freedom Health | MGMCR | $349.68 | — |
| Optimum | MGMCR | $349.68 | — |
| AvMed | HIX | $487.92 | — |
| Simply Healthcare Plans | MGMCR | $528.58 | — |
| Freedom Health | MGMCD | $650.56 | — |
| Molina | MCR | $772.54 | — |
| AvMed | FullyInsured | $853.86 | — |
| Humana | HMO | $853.86 | — |
| Health Sun Health Plan | MGMCR | $866.06 | — |
| AIDS Healthcare | MGMCR | $894.52 | — |
| MMM of FL (Health Advantage Plan) | MCR | $935.18 | — |
| United PPO | OptionsPPO | $963.64 | — |
| AvMed | ASOEO | $975.84 | — |
| Sunshine State Health Plan | QHP | $1,057.16 | — |
| AvMed | Select | $1,057.16 | — |
| AvMed | Focus | $1,057.16 | — |
| AvMed | Flex | $1,057.16 | — |
| AvMed | Engage | $1,057.16 | — |
| AvMed | Empower | $1,057.16 | — |
| Molina | HIX | $1,097.82 | — |
| CorVel Corporation | WORKERSCOMP | $1,104.48 | — |
| Prime Health | WORKERSCOMP | $1,127.73 | — |
| CareWorks (Rockport) | WORKERSCOMP | $1,127.73 | — |
| Aetna | ASA | $1,219.80 | — |
| Humana | PPO | $1,382.44 | — |
| United | GlobalBenefitPlanAppendix | $1,829.70 | — |
| AvMed | JacksonFirstNetworkOON | $2,033.00 | — |
| Prime Health Sherriff | COMM | $2,033.00 | — |
| AvMed | JHSSelectHMO | $2,033.00 | — |
| AvMed | MDCSelectOON | $2,033.00 | — |
| Plotkin Health | COMM | $2,033.00 | — |
| Medica HealthCare | MCR | $2,398.94 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $3,049.50 | — |
| Evernorth BH | COMM | $3,252.80 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $3,456.10 | — |
| AIDS Healthcare | MGMCD | $4,879.20 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Cholangiography and/or pancreatography intraoperative supervision & interpretation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $1,147.25 | $129.63 – $1,588.50 |
| West Kendall Baptist Hospital | MIAMI | $1,147.25 | $125.66 – $1,588.50 |
| Adventhealth Daytona Beach | Daytona Beach | $1,249.30 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,174.47 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $614.92 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $3,313.80 | not published |
| cleveland clinic florida weston hospital | Weston | $976.30 | $13.11 – $1,169.60 |
| martin north hospital | Stuart | $976.30 | $13.77 – $688.00 |