Diffusing capacity at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$1,719.00
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.
$1,719.00
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.
$52.25 with CorVel Corporation vs $2,062.80 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 | $52.25 | ↓ -97% |
| Prime Health | WORKERSCOMP | $53.35 | ↓ -97% |
| CareWorks (Rockport) | WORKERSCOMP | $53.35 | ↓ -97% |
| Aetna | MCR | $118.61 | ↓ -93% |
| BCBS | MCRHMO | $125.49 | ↓ -93% |
| Freedom Health | MGMCR | $147.83 | ↓ -91% |
| Optimum | MGMCR | $147.83 | ↓ -91% |
| BCBS | MBN | $171.90 | ↓ -90% |
| AvMed | HIX | $206.28 | ↓ -88% |
| BCBS | HMO | $214.88 | ↓ -87% |
| BCBS | SBN | $214.88 | ↓ -87% |
| Simply Healthcare Plans | MGMCR | $223.47 | ↓ -87% |
| Aetna | QHP | $249.25 | ↓ -86% |
| Oscar | HIX | $275.04 | ↓ -84% |
| Freedom Health | MGMCD | $275.04 | ↓ -84% |
| BCBS | PPO | $280.20 | ↓ -84% |
| BCBS | NWB | $280.20 | ↓ -84% |
| Aetna | HMO | $290.51 | ↓ -83% |
| AmeriHealth Caritas | HIX | $292.23 | ↓ -83% |
| Molina | MCR | $326.61 | ↓ -81% |
| Aetna | PPO | $335.20 | ↓ -81% |
| Cigna | PPO | $360.99 | ↓ -79% |
| AvMed | FullyInsured | $360.99 | ↓ -79% |
| Cigna | HMO | $360.99 | ↓ -79% |
| Humana | HMO | $360.99 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $366.15 | ↓ -79% |
| AIDS Healthcare | MGMCR | $378.18 | ↓ -78% |
| BCBS | PHS | $388.49 | ↓ -77% |
| BCBS | BSLNON-PAR | $388.49 | ↓ -77% |
| MMM of FL (Health Advantage Plan) | MCR | $395.37 | ↓ -77% |
| United PPO | OptionsPPO | $407.40 | ↓ -76% |
| AvMed | ASOEO | $412.56 | ↓ -76% |
| AvMed | Select | $446.94 | ↓ -74% |
| Sunshine State Health Plan | QHP | $446.94 | ↓ -74% |
| AvMed | Flex | $446.94 | ↓ -74% |
| AvMed | Focus | $446.94 | ↓ -74% |
| AvMed | Empower | $446.94 | ↓ -74% |
| AvMed | Engage | $446.94 | ↓ -74% |
| Molina | HIX | $464.13 | ↓ -73% |
| Aetna | ASA | $515.70 | ↓ -70% |
| Humana | PPO | $584.46 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $773.55 | ↓ -55% |
| AvMed | JHSSelectHMO | $859.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $859.50 | ↓ -50% |
| AvMed | MDCSelectOON | $859.50 | ↓ -50% |
| Plotkin Health | COMM | $859.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $859.50 | ↓ -50% |
| Medica HealthCare | MCR | $1,014.21 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,289.25 | ↓ -25% |
| Evernorth BH | COMM | $1,375.20 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,461.15 | ↓ -15% |
| AIDS Healthcare | MGMCD | $2,062.80 | ↑ +20% |
Visitor-reported prices
Comments
Diffusing capacity at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $326.30 | $36.79 – $451.80 |
| West Kendall Baptist Hospital | MIAMI | $326.30 | $35.66 – $451.80 |
| Adventhealth Daytona Beach | Daytona Beach | $361.39 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $331.76 | not published |
| Adventhealth Tampa | Tampa | $646.29 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $547.14 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $683.00 | $47.50 – $48.50 |
| Adventhealth Port Charlotte | Port Charlotte | $731.24 | not published |