Dornhoffer fixed part w/window 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.
$926.40 with Freedom Health vs $33,984.96 with Solis Health Plan — 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 | MGMCD | $926.40 | — |
| MMM of FL (Health Advantage Plan) | MCR | $1,331.70 | — |
| United PPO | OptionsPPO | $1,372.23 | — |
| AvMed | Focus | $1,505.40 | — |
| AvMed | Empower | $1,505.40 | — |
| AvMed | Select | $1,505.40 | — |
| AvMed | Flex | $1,505.40 | — |
| AvMed | Engage | $1,505.40 | — |
| Aetna | ASA | $1,737.00 | — |
| United | GlobalBenefitPlanAppendix | $2,605.50 | — |
| AvMed | MDCSelectOON | $2,895.00 | — |
| Plotkin Health | COMM | $2,895.00 | — |
| Prime Health Sherriff | COMM | $2,895.00 | — |
| AvMed | JHSSelectHMO | $2,895.00 | — |
| AvMed | JacksonFirstNetworkOON | $2,895.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $4,342.50 | — |
| Evernorth BH | COMM | $4,632.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $4,921.50 | — |
| AIDS Healthcare | MGMCD | $6,948.00 | — |
| Humana | TRICR | $22,734.76 | — |
| HUMANA | MGMCRHMO | $23,203.52 | — |
| HUMANA | MGMCRPPO | $23,203.52 | — |
| United Behavioral Health | VACCN | $23,437.90 | — |
| Leon Health | MCR | $23,437.90 | — |
| Veterans Evaluation Services | MCR | $23,437.90 | — |
| Wellmed | MGMCR | $23,437.90 | — |
| CarePlus SFL | MGMCR | $23,437.90 | — |
| Cigna HealthSpring | MGMCR | $23,437.90 | — |
| United | GVT | $23,437.90 | — |
| Devoted Health | MCR | $23,437.90 | — |
| Kindred Hospice | FEDERAL | $23,437.90 | — |
| NDMS Definitive Care | MGMCR | $23,437.90 | — |
| BCBS | MCRHMO | $23,906.66 | — |
| United | MCR | $23,906.66 | — |
| BCBS | MCRPPO | $23,906.66 | — |
| Aetna | MCR | $24,141.04 | — |
| Prominence HealthFirst | MCRHMO | $24,609.80 | — |
| Oscar | MCR | $24,609.80 | — |
| Sunshine State | MCR | $24,609.80 | — |
| American Health Plan | MCR | $24,844.17 | — |
| Florida Complete Care | MCR | $25,078.55 | — |
| Align | MCR | $25,078.55 | — |
| AvMed | MCR | $25,312.93 | — |
| Doctors Healthcare Plan | MCR | $25,781.69 | — |
| Sunshine State | MCD | $25,781.69 | — |
| Centurion | GVT | $25,781.69 | — |
| Gold Kidney | MCR | $26,250.45 | — |
| Longevity Health Plan | MCR | $28,125.48 | — |
| AmeriHealth Caritas | MGMCR | $28,125.48 | — |
| Solis Health Plan | MCR | $33,984.96 | — |
Visitor-reported prices
Comments
Dornhoffer fixed part w/window at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $40,200.00 | $22,734.76 – $49,219.59 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $18,750.32 – $28,125.48 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $22,734.76 – $33,984.96 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $22,266.01 – $33,984.96 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $22,734.76 – $39,844.43 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | not published | $22,734.76 – $25,781.69 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | not published | $22,734.76 – $33,984.96 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | not published | $22,734.76 – $33,984.96 |