Consultation pathology during surgery frozen section first tissue block at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$1,849.00
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.
$1,849.00
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.
$149.16 with United vs $2,218.80 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 | $149.16 | ↓ -92% |
| Optimum | MGMCR | $159.01 | ↓ -91% |
| Freedom Health | MGMCR | $159.01 | ↓ -91% |
| AvMed | HIX | $221.88 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $240.37 | ↓ -87% |
| Oscar | HIX | $295.84 | ↓ -84% |
| Freedom Health | MGMCD | $295.84 | ↓ -84% |
| CorVel Corporation | WORKERSCOMP | $299.41 | ↓ -84% |
| CareWorks (Rockport) | WORKERSCOMP | $305.71 | ↓ -83% |
| Prime Health | WORKERSCOMP | $305.71 | ↓ -83% |
| AmeriHealth Caritas | HIX | $314.33 | ↓ -83% |
| Molina | MCR | $351.31 | ↓ -81% |
| Humana | HMO | $388.29 | ↓ -79% |
| AvMed | FullyInsured | $388.29 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $393.84 | ↓ -79% |
| AIDS Healthcare | MGMCR | $406.78 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $425.27 | ↓ -77% |
| United PPO | OptionsPPO | $438.21 | ↓ -76% |
| AvMed | ASOEO | $443.76 | ↓ -76% |
| AvMed | Engage | $480.74 | ↓ -74% |
| Sunshine State Health Plan | QHP | $480.74 | ↓ -74% |
| AvMed | Empower | $480.74 | ↓ -74% |
| AvMed | Focus | $480.74 | ↓ -74% |
| AvMed | Select | $480.74 | ↓ -74% |
| AvMed | Flex | $480.74 | ↓ -74% |
| Molina | HIX | $499.23 | ↓ -73% |
| Aetna | ASA | $554.70 | ↓ -70% |
| Humana | PPO | $628.66 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $832.05 | ↓ -55% |
| Plotkin Health | COMM | $924.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $924.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $924.50 | ↓ -50% |
| AvMed | MDCSelectOON | $924.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $924.50 | ↓ -50% |
| Medica HealthCare | MCR | $1,090.91 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,386.75 | ↓ -25% |
| Evernorth BH | COMM | $1,479.20 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,571.65 | ↓ -15% |
| AIDS Healthcare | MGMCD | $2,218.80 | ↑ +20% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section first tissue block at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $512.85 | $19.44 – $710.10 |
| West Kendall Baptist Hospital | MIAMI | $512.85 | $58.85 – $710.10 |
| Adventhealth Daytona Beach | Daytona Beach | $479.09 | $169.02 – $296.94 |
| Adventhealth Lake Wales | Lake Wales | $455.16 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $783.67 | $169.02 – $380.01 |
| Adventhealth Tampa | Tampa | $938.29 | $177.91 – $394.97 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $159.00 | $169.02 – $388.65 |
| Adventhealth Port Charlotte | Port Charlotte | $734.89 | $177.91 – $324.87 |