Connect omega .5mm 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.
$40.60 with Aetna vs $536.89 with Solis Health Plan — 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 | $40.60 | — |
| Freedom Health | MGMCD | $44.80 | — |
| Aetna | HMO | $47.32 | — |
| Aetna | PPO | $54.60 | — |
| MMM of FL (Health Advantage Plan) | MCR | $64.40 | — |
| United PPO | OptionsPPO | $66.36 | — |
| AvMed | Focus | $72.80 | — |
| AvMed | Empower | $72.80 | — |
| AvMed | Select | $72.80 | — |
| AvMed | Engage | $72.80 | — |
| AvMed | Flex | $72.80 | — |
| Aetna | ASA | $84.00 | — |
| United | GlobalBenefitPlanAppendix | $126.00 | — |
| AvMed | JacksonFirstNetworkOON | $140.00 | — |
| Plotkin Health | COMM | $140.00 | — |
| Prime Health Sherriff | COMM | $140.00 | — |
| AvMed | JHSSelectHMO | $140.00 | — |
| AvMed | MDCSelectOON | $140.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $210.00 | — |
| Evernorth BH | COMM | $224.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $238.00 | — |
| AIDS Healthcare | MGMCD | $336.00 | — |
| Humana | TRICR | $359.16 | — |
| HUMANA | MGMCRPPO | $366.57 | — |
| HUMANA | MGMCRHMO | $366.57 | — |
| United | GVT | $370.27 | — |
| NDMS Definitive Care | MGMCR | $370.27 | — |
| United Behavioral Health | VACCN | $370.27 | — |
| Wellmed | MGMCR | $370.27 | — |
| Cigna HealthSpring | MGMCR | $370.27 | — |
| Veterans Evaluation Services | MCR | $370.27 | — |
| Devoted Health | MCR | $370.27 | — |
| CarePlus SFL | MGMCR | $370.27 | — |
| Kindred Hospice | FEDERAL | $370.27 | — |
| Leon Health | MCR | $370.27 | — |
| United | MCR | $377.68 | — |
| BCBS | MCRHMO | $377.68 | — |
| BCBS | MCRPPO | $377.68 | — |
| Aetna | MCR | $381.38 | — |
| Oscar | MCR | $388.78 | — |
| Prominence HealthFirst | MCRHMO | $388.78 | — |
| Sunshine State | MCR | $388.78 | — |
| American Health Plan | MCR | $392.49 | — |
| Align | MCR | $396.19 | — |
| Florida Complete Care | MCR | $396.19 | — |
| AvMed | MCR | $399.89 | — |
| Centurion | GVT | $407.30 | — |
| Sunshine State | MCD | $407.30 | — |
| Doctors Healthcare Plan | MCR | $407.30 | — |
| Gold Kidney | MCR | $414.70 | — |
| AmeriHealth Caritas | MGMCR | $444.32 | — |
| Longevity Health Plan | MCR | $444.32 | — |
| Solis Health Plan | MCR | $536.89 | — |
Visitor-reported prices
Comments
Connect omega .5mm at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $714.00 | $351.76 – $536.89 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $1,616.48 | $359.16 – $536.89 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY | $1,506.25 | $333.24 – $444.32 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $714.00 | $359.16 – $536.89 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH | $605.04 | $359.16 – $536.89 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie | $714.00 | $366.57 – $536.89 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | $714.00 | $359.16 – $536.89 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena | $605.04 | $359.16 – $536.89 |