Coombs direct 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.
$5.34 with HUMANA vs $410.40 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 |
|---|---|---|---|
| HUMANA | MGMCRPPO | $5.34 | — |
| HUMANA | MGMCRHMO | $5.34 | — |
| Wellmed | MGMCR | $5.39 | — |
| NDMS Definitive Care | MGMCR | $5.39 | — |
| Kindred Hospice | FEDERAL | $5.39 | — |
| Veterans Evaluation Services | MCR | $5.39 | — |
| United Behavioral Health | VACCN | $5.39 | — |
| Cigna HealthSpring | MGMCR | $5.39 | — |
| Leon Health | MCR | $5.39 | — |
| Devoted Health | MCR | $5.39 | — |
| United | AllPayerAppendix | $5.39 | — |
| United | GVT | $5.39 | — |
| CarePlus SFL | MGMCR | $5.39 | — |
| BCBS | MCRHMO | $5.50 | — |
| BCBS | MCRPPO | $5.50 | — |
| United | MCR | $5.50 | — |
| Aetna | MCR | $5.55 | — |
| Oscar | MCR | $5.66 | — |
| Prominence HealthFirst | MCRHMO | $5.66 | — |
| Sunshine State | MCR | $5.66 | — |
| American Health Plan | MCR | $5.71 | — |
| Align | MCR | $5.77 | — |
| Florida Complete Care | MCR | $5.77 | — |
| AvMed | MCR | $5.82 | — |
| Doctors Healthcare Plan | MCR | $5.93 | — |
| Centurion | GVT | $5.93 | — |
| Sunshine State | MCD | $5.93 | — |
| Gold Kidney | MCR | $6.04 | — |
| Longevity Health Plan | MCR | $6.47 | — |
| AmeriHealth Caritas | MGMCR | $6.47 | — |
| Oscar | HIX | $7.60 | — |
| Solis Health Plan | MCR | $7.82 | — |
| AmeriHealth Caritas | HIX | $8.08 | — |
| CorVel Corporation | WORKERSCOMP | $29.32 | — |
| Freedom Health | MGMCR | $29.41 | — |
| Optimum | MGMCR | $29.41 | — |
| Prime Health | WORKERSCOMP | $29.93 | — |
| CareWorks (Rockport) | WORKERSCOMP | $29.93 | — |
| AvMed | HIX | $41.04 | — |
| Simply Healthcare Plans | MGMCR | $44.46 | — |
| Freedom Health | MGMCD | $54.72 | — |
| Molina | MCR | $64.98 | — |
| Humana | HMO | $71.82 | — |
| AvMed | FullyInsured | $71.82 | — |
| Health Sun Health Plan | MGMCR | $72.85 | — |
| AIDS Healthcare | MGMCR | $75.24 | — |
| MMM of FL (Health Advantage Plan) | MCR | $78.66 | — |
| United PPO | OptionsPPO | $81.05 | — |
| AvMed | ASOEO | $82.08 | — |
| AvMed | Flex | $88.92 | — |
| AvMed | Focus | $88.92 | — |
| AvMed | Engage | $88.92 | — |
| AvMed | Empower | $88.92 | — |
| Sunshine State Health Plan | QHP | $88.92 | — |
| AvMed | Select | $88.92 | — |
| Molina | HIX | $92.34 | — |
| Aetna | ASA | $102.60 | — |
| Humana | PPO | $116.28 | — |
| United | GlobalBenefitPlanAppendix | $153.90 | — |
| AvMed | MDCSelectOON | $171.00 | — |
| AvMed | JacksonFirstNetworkOON | $171.00 | — |
| AvMed | JHSSelectHMO | $171.00 | — |
| Plotkin Health | COMM | $171.00 | — |
| Prime Health Sherriff | COMM | $171.00 | — |
| Medica HealthCare | MCR | $201.78 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $256.50 | — |
| Evernorth BH | COMM | $273.60 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $290.70 | — |
| AIDS Healthcare | MGMCD | $410.40 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
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Coombs direct at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $79.95 | $2.27 – $72.00 |
| West Kendall Baptist Hospital | MIAMI | $79.95 | $2.20 – $72.00 |
| Adventhealth Daytona Beach | Daytona Beach | $259.96 | $58.52 – $102.82 |
| Adventhealth Lake Wales | Lake Wales | $224.58 | $61.60 – $136.76 |
| Adventhealth Palm Coast Parkway | Palm Coast | $248.45 | $58.52 – $131.58 |
| Adventhealth Tampa | Tampa | $224.12 | $61.60 – $136.76 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $58.27 | $58.52 – $134.57 |
| Adventhealth Port Charlotte | Port Charlotte | $411.14 | $61.60 – $112.49 |