Dialysis one evaluation 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.
$97.85 with CorVel Corporation vs $9,346.80 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $97.85 | — |
| CareWorks (Rockport) | WORKERSCOMP | $99.91 | — |
| Prime Health | WORKERSCOMP | $99.91 | — |
| BCBS | MCRHMO | $568.60 | — |
| Freedom Health | MGMCR | $669.85 | — |
| Optimum | MGMCR | $669.85 | — |
| BCBS | MBN | $778.90 | — |
| AvMed | HIX | $934.68 | — |
| BCBS | SBN | $973.63 | — |
| BCBS | HMO | $973.63 | — |
| Simply Healthcare Plans | MGMCR | $1,012.57 | — |
| Aetna | QHP | $1,129.40 | — |
| Freedom Health | MGMCD | $1,246.24 | — |
| Oscar | HIX | $1,246.24 | — |
| BCBS | NWB | $1,269.61 | — |
| BCBS | PPO | $1,269.61 | — |
| Aetna | HMO | $1,316.34 | — |
| AmeriHealth Caritas | HIX | $1,324.13 | — |
| Molina | MCR | $1,479.91 | — |
| Aetna | PPO | $1,518.86 | — |
| Cigna | PPO | $1,635.69 | — |
| Humana | HMO | $1,635.69 | — |
| AvMed | FullyInsured | $1,635.69 | — |
| Cigna | HMO | $1,635.69 | — |
| Health Sun Health Plan | MGMCR | $1,659.06 | — |
| AIDS Healthcare | MGMCR | $1,713.58 | — |
| BCBS | BSLNON-PAR | $1,760.31 | — |
| BCBS | PHS | $1,760.31 | — |
| MMM of FL (Health Advantage Plan) | MCR | $1,791.47 | — |
| United PPO | OptionsPPO | $1,845.99 | — |
| AvMed | ASOEO | $1,869.36 | — |
| AvMed | Focus | $2,025.14 | — |
| Sunshine State Health Plan | QHP | $2,025.14 | — |
| AvMed | Select | $2,025.14 | — |
| AvMed | Empower | $2,025.14 | — |
| AvMed | Engage | $2,025.14 | — |
| AvMed | Flex | $2,025.14 | — |
| Molina | HIX | $2,103.03 | — |
| Aetna | ASA | $2,336.70 | — |
| Humana | PPO | $2,648.26 | — |
| United | GlobalBenefitPlanAppendix | $3,505.05 | — |
| Plotkin Health | COMM | $3,894.50 | — |
| AvMed | JHSSelectHMO | $3,894.50 | — |
| AvMed | JacksonFirstNetworkOON | $3,894.50 | — |
| AvMed | MDCSelectOON | $3,894.50 | — |
| Prime Health Sherriff | COMM | $3,894.50 | — |
| Medica HealthCare | MCR | $4,595.51 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $5,841.75 | — |
| Evernorth BH | COMM | $6,231.20 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $6,620.65 | — |
| AIDS Healthcare | MGMCD | $9,346.80 | — |
Visitor-reported prices
Comments
Dialysis one evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $2,858.70 | $173.17 – $3,958.20 |
| West Kendall Baptist Hospital | MIAMI | $2,858.70 | $435.74 – $3,958.20 |
| Adventhealth Daytona Beach | Daytona Beach | $1,662.17 | $413.95 – $727.25 |
| Adventhealth Lake Wales | Lake Wales | $1,290.24 | $435.74 – $967.34 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,024.00 | $413.95 – $930.69 |
| Adventhealth Tampa | Tampa | $1,406.82 | $435.74 – $967.34 |
| cleveland clinic florida weston hospital | Weston | $2,387.45 | $57.33 – $3,122.05 |
| martin north hospital | Stuart | $2,387.45 | $63.35 – $1,836.50 |