Electrophysiology 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.
$1,847.61 with Aetna vs $43,464.00 with AvMed — 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 |
|---|---|---|---|
| Aetna | MCR | $1,847.61 | — |
| BCBS | MCRHMO | $1,954.72 | — |
| Simply Healthcare Plans | MGMCR | $3,481.01 | — |
| Aetna | QHP | $3,882.66 | — |
| Freedom Health | MGMCD | $4,284.32 | — |
| Aetna | HMO | $4,525.31 | — |
| Molina | MCR | $5,087.63 | — |
| Aetna | PPO | $5,221.52 | — |
| United PPO | OptionsPPO | $6,346.15 | — |
| Sunshine State Health Plan | QHP | $6,826.00 | — |
| AvMed | Focus | $6,962.02 | — |
| AvMed | Select | $6,962.02 | — |
| AvMed | Empower | $6,962.02 | — |
| AvMed | Engage | $6,962.02 | — |
| AvMed | Flex | $6,962.02 | — |
| Health Sun Health Plan | MGMCR | $7,350.00 | — |
| Optimum | MGMCR | $8,000.00 | — |
| Freedom Health | MGMCR | $8,000.00 | — |
| Molina | HIX | $8,010.00 | — |
| Aetna | ASA | $8,033.10 | — |
| AIDS Healthcare | MGMCR | $8,300.00 | — |
| MMM of FL (Health Advantage Plan) | MCR | $8,300.00 | — |
| CorVel Corporation | WORKERSCOMP | $9,207.49 | — |
| CareWorks (Rockport) | WORKERSCOMP | $9,401.33 | — |
| Prime Health | WORKERSCOMP | $9,401.33 | — |
| United | GlobalBenefitPlanAppendix | $12,049.65 | — |
| BCBS | MBN | $13,299.00 | — |
| AvMed | JHSSelectHMO | $13,388.50 | — |
| Plotkin Health | COMM | $13,388.50 | — |
| AvMed | MDCSelectOON | $13,388.50 | — |
| Prime Health Sherriff | COMM | $13,388.50 | — |
| AvMed | JacksonFirstNetworkOON | $13,388.50 | — |
| Medica HealthCare | MCR | $15,798.43 | — |
| BCBS | PPO | $17,000.00 | — |
| BCBS | NWB | $17,000.00 | — |
| BCBS | SBN | $17,140.00 | — |
| BCBS | HMO | $17,140.00 | — |
| Cigna | PPO | $17,341.00 | — |
| Cigna | HMO | $17,341.00 | — |
| Humana | HMO | $17,832.00 | — |
| United | AllPayerAppendix | $18,000.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $20,082.75 | — |
| BCBS | BSLNON-PAR | $21,368.00 | — |
| BCBS | PHS | $21,368.00 | — |
| Humana | PPO | $21,400.00 | — |
| Evernorth BH | COMM | $21,421.60 | — |
| AvMed | HIX | $21,609.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $22,760.45 | — |
| AmeriHealth Caritas | HIX | $30,632.00 | — |
| AIDS Healthcare | MGMCD | $32,132.40 | — |
| Oscar | HIX | $34,754.00 | — |
| AvMed | FullyInsured | $39,569.00 | — |
| AvMed | ASOEO | $43,464.00 | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $12,358.45 | $173.17 – $17,111.70 |
| West Kendall Baptist Hospital | MIAMI | $12,358.45 | $3,251.22 – $17,111.70 |
| Adventhealth Daytona Beach | Daytona Beach | $6,594.98 | not published |
| Adventhealth Tampa | Tampa | $27,820.68 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $38,984.00 | $8,444.65 – $8,622.44 |
| Adventhealth Port Charlotte | Port Charlotte | $31,993.78 | not published |
| cleveland clinic florida weston hospital | Weston | $12,281.75 | $33.31 – $19,642.00 |
| martin north hospital | Stuart | $11,852.75 | $392.44 – $16,407.00 |