CT heart w/evaluation of calcium without contrast at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$3,448.00
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.
$3,448.00
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.
$118.30 with CorVel Corporation vs $4,458.00 with Humana — 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $118.30 | ↓ -97% |
| Prime Health | WORKERSCOMP | $120.79 | ↓ -96% |
| CareWorks (Rockport) | WORKERSCOMP | $120.79 | ↓ -96% |
| United | AllPayerAppendix | $182.03 | ↓ -95% |
| Freedom Health | MGMCR | $296.53 | ↓ -91% |
| Optimum | MGMCR | $296.53 | ↓ -91% |
| Simply Healthcare Plans | MGMCR | $448.24 | ↓ -87% |
| Freedom Health | MGMCD | $551.68 | ↓ -84% |
| Molina | MCR | $655.12 | ↓ -81% |
| Health Sun Health Plan | MGMCR | $734.42 | ↓ -79% |
| AIDS Healthcare | MGMCR | $758.56 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $793.04 | ↓ -77% |
| Aetna | QHP | $809.00 | ↓ -77% |
| United PPO | OptionsPPO | $817.18 | ↓ -76% |
| AvMed | HIX | $845.00 | ↓ -75% |
| AvMed | Flex | $896.48 | ↓ -74% |
| AvMed | Engage | $896.48 | ↓ -74% |
| AvMed | Focus | $896.48 | ↓ -74% |
| Sunshine State Health Plan | QHP | $896.48 | ↓ -74% |
| AvMed | Empower | $896.48 | ↓ -74% |
| AvMed | Select | $896.48 | ↓ -74% |
| Molina | HIX | $930.96 | ↓ -73% |
| Aetna | ASA | $1,034.40 | ↓ -70% |
| Aetna | HMO | $1,061.00 | ↓ -69% |
| Aetna | PPO | $1,462.00 | ↓ -58% |
| United | GlobalBenefitPlanAppendix | $1,551.60 | ↓ -55% |
| Prime Health Sherriff | COMM | $1,724.00 | ↓ -50% |
| Plotkin Health | COMM | $1,724.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $1,724.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $1,724.00 | ↓ -50% |
| AvMed | MDCSelectOON | $1,724.00 | ↓ -50% |
| Medica HealthCare | MCR | $2,034.32 | ↓ -41% |
| AvMed | FullyInsured | $2,119.00 | ↓ -39% |
| AvMed | ASOEO | $2,329.00 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $2,586.00 | ↓ -25% |
| Evernorth BH | COMM | $2,758.40 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $2,930.80 | ↓ -15% |
| Humana | HMO | $3,744.00 | ↑ +9% |
| Cigna | PPO | $3,967.00 | ↑ +15% |
| Cigna | HMO | $3,967.00 | ↑ +15% |
| AIDS Healthcare | MGMCD | $4,137.60 | ↑ +20% |
| Humana | PPO | $4,458.00 | ↑ +29% |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $1,262.95 | $67.49 – $1,748.70 |
| West Kendall Baptist Hospital | MIAMI | $1,262.95 | $65.42 – $1,748.70 |
| Adventhealth Daytona Beach | Daytona Beach | $121.55 | $36.39 – $151.68 |
| Adventhealth Palm Coast Parkway | Palm Coast | $267.73 | $32.85 – $194.11 |
| Adventhealth Tampa | Tampa | $1,150.55 | $29.53 – $201.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $133.12 | $50.70 – $198.52 |
| cleveland clinic florida weston hospital | Weston | $644.80 | $22.86 – $646.00 |
| martin north hospital | Stuart | $644.80 | $20.46 – $380.00 |