Covid-19 lab test non-cdc 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.
$4.30 with Optimum vs $76.97 with AmeriHealth Caritas — 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 | $4.30 | — |
| Freedom Health | MGMCR | $4.30 | — |
| AvMed | HIX | $6.00 | — |
| Simply Healthcare Plans | MGMCR | $6.50 | — |
| Freedom Health | MGMCD | $8.00 | — |
| Molina | MCR | $9.50 | — |
| AvMed | FullyInsured | $10.50 | — |
| Humana | HMO | $10.50 | — |
| Health Sun Health Plan | MGMCR | $10.65 | — |
| AIDS Healthcare | MGMCR | $11.00 | — |
| MMM of FL (Health Advantage Plan) | MCR | $11.50 | — |
| United PPO | OptionsPPO | $11.85 | — |
| AvMed | ASOEO | $12.00 | — |
| AvMed | Empower | $13.00 | — |
| AvMed | Select | $13.00 | — |
| AvMed | Focus | $13.00 | — |
| AvMed | Flex | $13.00 | — |
| AvMed | Engage | $13.00 | — |
| Sunshine State Health Plan | QHP | $13.00 | — |
| Molina | HIX | $13.50 | — |
| Aetna | ASA | $15.00 | — |
| Humana | PPO | $17.00 | — |
| United | GlobalBenefitPlanAppendix | $22.50 | — |
| AvMed | MDCSelectOON | $25.00 | — |
| Prime Health Sherriff | COMM | $25.00 | — |
| AvMed | JHSSelectHMO | $25.00 | — |
| Plotkin Health | COMM | $25.00 | — |
| AvMed | JacksonFirstNetworkOON | $25.00 | — |
| Medica HealthCare | MCR | $29.50 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $37.50 | — |
| Evernorth BH | COMM | $40.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $42.50 | — |
| HUMANA | MGMCRPPO | $50.80 | — |
| HUMANA | MGMCRHMO | $50.80 | — |
| Humana | TRICR | $51.08 | — |
| Kindred Hospice | FEDERAL | $51.31 | — |
| United Behavioral Health | VACCN | $51.31 | — |
| United | AllPayerAppendix | $51.31 | — |
| United | GVT | $51.31 | — |
| Cigna HealthSpring | MGMCR | $51.31 | — |
| CarePlus SFL | MGMCR | $51.31 | — |
| Leon Health | MCR | $51.31 | — |
| NDMS Definitive Care | MGMCR | $51.31 | — |
| Veterans Evaluation Services | MCR | $51.31 | — |
| Wellmed | MGMCR | $51.31 | — |
| Devoted Health | MCR | $51.31 | — |
| United | MCR | $52.34 | — |
| BCBS | MCRPPO | $52.34 | — |
| BCBS | MCRHMO | $52.34 | — |
| Aetna | MCR | $52.85 | — |
| Sunshine State | MCR | $53.88 | — |
| Prominence HealthFirst | MCRHMO | $53.88 | — |
| Oscar | MCR | $53.88 | — |
| American Health Plan | MCR | $54.39 | — |
| Align | MCR | $54.90 | — |
| Florida Complete Care | MCR | $54.90 | — |
| AvMed | MCR | $55.41 | — |
| Doctors Healthcare Plan | MCR | $56.44 | — |
| Centurion | GVT | $56.44 | — |
| Sunshine State | MCD | $56.44 | — |
| Gold Kidney | MCR | $57.47 | — |
| AIDS Healthcare | MGMCD | $60.00 | — |
| AmeriHealth Caritas | MGMCR | $61.57 | — |
| Longevity Health Plan | MCR | $61.57 | — |
| Oscar | HIX | $72.35 | — |
| Solis Health Plan | MCR | $74.40 | — |
| AmeriHealth Caritas | HIX | $76.97 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Covid-19 lab test non-cdc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $51.31 | $46.50 – $74.40 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $50.00 | $50.80 – $107.75 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $50.00 | $50.80 – $74.40 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $51.31 | $46.50 – $74.40 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | $51.31 | $46.50 – $79.02 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE | $62.20 | $46.50 – $80.04 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring | $50.00 | $51.31 – $115.96 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD | $51.31 | $46.50 – $79.02 |