Dup scan/ue art/graft/bilat/comp 93930 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$182.40 with CorVel Corporation vs $2,872.80 with AIDS Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $182.40 | — |
| Prime Health | WORKERSCOMP | $186.24 | — |
| CareWorks (Rockport) | WORKERSCOMP | $186.24 | — |
| Freedom Health | MGMCR | $205.88 | — |
| Optimum | MGMCR | $205.88 | — |
| AvMed | HIX | $287.28 | — |
| Simply Healthcare Plans | MGMCR | $311.22 | — |
| Freedom Health | MGMCD | $383.04 | — |
| Oscar | HIX | $383.04 | — |
| AmeriHealth Caritas | HIX | $406.98 | — |
| Molina | MCR | $454.86 | — |
| Cigna | PPO | $502.74 | — |
| AvMed | FullyInsured | $502.74 | — |
| Humana | HMO | $502.74 | — |
| Cigna | HMO | $502.74 | — |
| Health Sun Health Plan | MGMCR | $509.92 | — |
| AIDS Healthcare | MGMCR | $526.68 | — |
| MMM of FL (Health Advantage Plan) | MCR | $550.62 | — |
| United PPO | OptionsPPO | $567.38 | — |
| AvMed | ASOEO | $574.56 | — |
| AvMed | Engage | $622.44 | — |
| Sunshine State Health Plan | QHP | $622.44 | — |
| AvMed | Focus | $622.44 | — |
| AvMed | Empower | $622.44 | — |
| AvMed | Flex | $622.44 | — |
| AvMed | Select | $622.44 | — |
| Molina | HIX | $646.38 | — |
| Aetna | ASA | $718.20 | — |
| Humana | PPO | $813.96 | — |
| United | GlobalBenefitPlanAppendix | $1,077.30 | — |
| AvMed | JacksonFirstNetworkOON | $1,197.00 | — |
| Plotkin Health | COMM | $1,197.00 | — |
| Prime Health Sherriff | COMM | $1,197.00 | — |
| AvMed | JHSSelectHMO | $1,197.00 | — |
| AvMed | MDCSelectOON | $1,197.00 | — |
| Medica HealthCare | MCR | $1,412.46 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,795.50 | — |
| Evernorth BH | COMM | $1,915.20 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $2,034.90 | — |
| AIDS Healthcare | MGMCD | $2,872.80 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $1,221.35 | $69.11 – $1,691.10 |
| West Kendall Baptist Hospital | MIAMI | $1,221.35 | $66.99 – $1,691.10 |
| Adventhealth Daytona Beach | Daytona Beach | $1,702.61 | $236.71 – $415.86 |
| Adventhealth Lake Wales | Lake Wales | $4,909.62 | $249.17 – $553.15 |
| Adventhealth Palm Coast Parkway | Palm Coast | $2,028.20 | $236.71 – $532.20 |
| Adventhealth Tampa | Tampa | $2,788.71 | $249.17 – $553.15 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,343.07 | $236.71 – $544.31 |
| Adventhealth Port Charlotte | Port Charlotte | $3,332.08 | $249.17 – $454.98 |