Diagnostic Mammogram (one breast) 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.
$41.11 with Freedom Health vs $573.60 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 | $41.11 | — |
| Optimum | MGMCR | $41.11 | — |
| AvMed | HIX | $57.36 | — |
| Simply Healthcare Plans | MGMCR | $62.14 | — |
| Freedom Health | MGMCD | $76.48 | — |
| Humana | TRICR | $85.67 | — |
| HUMANA | MGMCRPPO | $89.30 | — |
| HUMANA | MGMCRHMO | $89.30 | — |
| NDMS Definitive Care | MGMCR | $90.20 | — |
| Kindred Hospice | FEDERAL | $90.20 | — |
| Wellmed | MGMCR | $90.20 | — |
| Veterans Evaluation Services | MCR | $90.20 | — |
| United Behavioral Health | VACCN | $90.20 | — |
| Cigna HealthSpring | MGMCR | $90.20 | — |
| Leon Health | MCR | $90.20 | — |
| Devoted Health | MCR | $90.20 | — |
| CarePlus SFL | MGMCR | $90.20 | — |
| United | GVT | $90.20 | — |
| Molina | MCR | $90.82 | — |
| United | MCR | $92.00 | — |
| BCBS | MCRPPO | $92.00 | — |
| BCBS | MCRHMO | $92.00 | — |
| Aetna | MCR | $92.91 | — |
| Oscar | MCR | $94.71 | — |
| Sunshine State | MCR | $94.71 | — |
| Prominence HealthFirst | MCRHMO | $94.71 | — |
| American Health Plan | MCR | $95.61 | — |
| Florida Complete Care | MCR | $96.51 | — |
| Align | MCR | $96.51 | — |
| AvMed | MCR | $97.42 | — |
| Doctors Healthcare Plan | MCR | $99.22 | — |
| Centurion | GVT | $99.22 | — |
| Sunshine State | MCD | $99.22 | — |
| AvMed | FullyInsured | $100.38 | — |
| Humana | HMO | $100.38 | — |
| Gold Kidney | MCR | $101.02 | — |
| Health Sun Health Plan | MGMCR | $101.81 | — |
| AIDS Healthcare | MGMCR | $105.16 | — |
| Longevity Health Plan | MCR | $108.24 | — |
| AmeriHealth Caritas | MGMCR | $108.24 | — |
| MMM of FL (Health Advantage Plan) | MCR | $109.94 | — |
| United PPO | OptionsPPO | $113.29 | — |
| AvMed | ASOEO | $114.72 | — |
| AvMed | Focus | $124.28 | — |
| AvMed | Empower | $124.28 | — |
| AvMed | Engage | $124.28 | — |
| AvMed | Flex | $124.28 | — |
| Sunshine State Health Plan | QHP | $124.28 | — |
| AvMed | Select | $124.28 | — |
| Molina | HIX | $129.06 | — |
| Solis Health Plan | MCR | $130.79 | — |
| Aetna | ASA | $143.40 | — |
| Humana | PPO | $162.52 | — |
| United | AllPayerAppendix | $205.70 | — |
| United | GlobalBenefitPlanAppendix | $215.10 | — |
| AvMed | MDCSelectOON | $239.00 | — |
| AvMed | JacksonFirstNetworkOON | $239.00 | — |
| Prime Health Sherriff | COMM | $239.00 | — |
| AvMed | JHSSelectHMO | $239.00 | — |
| Plotkin Health | COMM | $239.00 | — |
| Medica HealthCare | MCR | $282.02 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $358.50 | — |
| Evernorth BH | COMM | $382.40 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $406.30 | — |
| AIDS Healthcare | MGMCD | $573.60 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $432.25 | $14.85 – $598.50 |
| Adventhealth Daytona Beach | Daytona Beach | $433.40 | $83.18 – $159.23 |
| Adventhealth Lake Wales | Lake Wales | $1,499.40 | $87.56 – $201.85 |
| Adventhealth Palm Coast Parkway | Palm Coast | $310.00 | $83.18 – $240.30 |
| Adventhealth Tampa | Tampa | $559.51 | $87.56 – $194.38 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $448.22 | $83.18 – $191.27 |
| Adventhealth Port Charlotte | Port Charlotte | $1,109.11 | $87.56 – $159.88 |
| cleveland clinic florida weston hospital | Weston | $668.20 | $27.88 – $598.40 |