Consultation pathology during surgery at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$277.00
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.
$277.00
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.
$23.82 with Optimum vs $332.40 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 |
|---|---|---|---|
| Optimum | MGMCR | $23.82 | ↓ -91% |
| Freedom Health | MGMCR | $23.82 | ↓ -91% |
| AvMed | HIX | $33.24 | ↓ -88% |
| United | AllPayerAppendix | $33.84 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $36.01 | ↓ -87% |
| Oscar | HIX | $44.32 | ↓ -84% |
| Freedom Health | MGMCD | $44.32 | ↓ -84% |
| AmeriHealth Caritas | HIX | $47.09 | ↓ -83% |
| Molina | MCR | $52.63 | ↓ -81% |
| Humana | HMO | $58.17 | ↓ -79% |
| AvMed | FullyInsured | $58.17 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $59.00 | ↓ -79% |
| AIDS Healthcare | MGMCR | $60.94 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $63.71 | ↓ -77% |
| United PPO | OptionsPPO | $65.65 | ↓ -76% |
| AvMed | ASOEO | $66.48 | ↓ -76% |
| AvMed | Select | $72.02 | ↓ -74% |
| AvMed | Engage | $72.02 | ↓ -74% |
| AvMed | Flex | $72.02 | ↓ -74% |
| AvMed | Focus | $72.02 | ↓ -74% |
| Sunshine State Health Plan | QHP | $72.02 | ↓ -74% |
| AvMed | Empower | $72.02 | ↓ -74% |
| Molina | HIX | $74.79 | ↓ -73% |
| Aetna | ASA | $83.10 | ↓ -70% |
| Humana | PPO | $94.18 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $124.65 | ↓ -55% |
| AvMed | MDCSelectOON | $138.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $138.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $138.50 | ↓ -50% |
| Plotkin Health | COMM | $138.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $138.50 | ↓ -50% |
| Medica HealthCare | MCR | $163.43 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $207.75 | ↓ -25% |
| Evernorth BH | COMM | $221.60 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $235.45 | ↓ -15% |
| CorVel Corporation | WORKERSCOMP | $299.41 | ↑ +8% |
| CareWorks (Rockport) | WORKERSCOMP | $305.71 | ↑ +10% |
| Prime Health | WORKERSCOMP | $305.71 | ↑ +10% |
| AIDS Healthcare | MGMCD | $332.40 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $445.90 | $4.00 – $617.40 |
| West Kendall Baptist Hospital | MIAMI | $445.90 | $58.85 – $617.40 |
| Adventhealth Daytona Beach | Daytona Beach | $244.00 | $58.52 – $102.82 |
| Adventhealth Palm Coast Parkway | Palm Coast | $124.75 | $58.52 – $131.58 |
| Adventhealth Tampa | Tampa | $331.57 | $61.60 – $136.76 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $73.17 | $58.52 – $134.57 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $305.00 | $33.84 – $280.39 |
| Adventhealth Port Charlotte | Port Charlotte | $249.89 | $61.60 – $112.49 |