Devel tst phys/qhp 1st hr at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$1,639.00
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.
$1,639.00
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.
$140.95 with Freedom Health vs $1,966.80 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $140.95 | ↓ -91% |
| Optimum | MGMCR | $140.95 | ↓ -91% |
| CorVel Corporation | WORKERSCOMP | $146.30 | ↓ -91% |
| Prime Health | WORKERSCOMP | $149.38 | ↓ -91% |
| CareWorks (Rockport) | WORKERSCOMP | $149.38 | ↓ -91% |
| AvMed | HIX | $196.68 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $213.07 | ↓ -87% |
| Aetna | QHP | $237.66 | ↓ -85% |
| Freedom Health | MGMCD | $262.24 | ↓ -84% |
| Oscar | HIX | $262.24 | ↓ -84% |
| Aetna | HMO | $276.99 | ↓ -83% |
| AmeriHealth Caritas | HIX | $278.63 | ↓ -83% |
| Molina | MCR | $311.41 | ↓ -81% |
| Aetna | PPO | $319.61 | ↓ -80% |
| AvMed | FullyInsured | $344.19 | ↓ -79% |
| Cigna | PPO | $344.19 | ↓ -79% |
| Cigna | HMO | $344.19 | ↓ -79% |
| Humana | HMO | $344.19 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $349.11 | ↓ -79% |
| AIDS Healthcare | MGMCR | $360.58 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $376.97 | ↓ -77% |
| United PPO | OptionsPPO | $388.44 | ↓ -76% |
| AvMed | ASOEO | $393.36 | ↓ -76% |
| AvMed | Select | $426.14 | ↓ -74% |
| AvMed | Engage | $426.14 | ↓ -74% |
| AvMed | Flex | $426.14 | ↓ -74% |
| AvMed | Focus | $426.14 | ↓ -74% |
| Sunshine State Health Plan | QHP | $426.14 | ↓ -74% |
| AvMed | Empower | $426.14 | ↓ -74% |
| Molina | HIX | $442.53 | ↓ -73% |
| Aetna | ASA | $491.70 | ↓ -70% |
| Humana | PPO | $557.26 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $737.55 | ↓ -55% |
| Plotkin Health | COMM | $819.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $819.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $819.50 | ↓ -50% |
| AvMed | MDCSelectOON | $819.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $819.50 | ↓ -50% |
| Medica HealthCare | MCR | $967.01 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,229.25 | ↓ -25% |
| Evernorth BH | COMM | $1,311.20 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,393.15 | ↓ -15% |
| AIDS Healthcare | MGMCD | $1,966.80 | ↑ +20% |
Visitor-reported prices
Comments
Devel tst phys/qhp 1st hr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $226.85 | $60.38 – $408.81 |
| West Kendall Baptist Hospital | MIAMI | $226.85 | $59.68 – $407.62 |
| cleveland clinic florida weston hospital | Weston | $877.50 | $33.20 – $1,147.50 |
| martin north hospital | Stuart | $877.50 | $33.20 – $768.00 |
| indian river hospital | Vero Beach | $877.50 | $134.37 – $1,080.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $226.85 | $60.73 – $407.62 |
| Homestead Hospital | HOMESTEAD | $226.85 | $59.33 – $396.30 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $277.87 | $150.77 – $321.95 |