Enfuvirtide injection 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.
$0.54 with United vs $426.00 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 |
|---|---|---|---|
| United | AllPayerAppendix | $0.54 | — |
| Aetna | MCR | $24.50 | — |
| BCBS | MCRHMO | $25.91 | — |
| Optimum | MGMCR | $30.53 | — |
| Freedom Health | MGMCR | $30.53 | — |
| BCBS | MBN | $35.50 | — |
| AvMed | HIX | $42.60 | — |
| BCBS | SBN | $44.38 | — |
| BCBS | HMO | $44.38 | — |
| Simply Healthcare Plans | MGMCR | $46.15 | — |
| Freedom Health | MGMCD | $56.80 | — |
| Oscar | HIX | $56.80 | — |
| BCBS | NWB | $57.87 | — |
| BCBS | PPO | $57.87 | — |
| AmeriHealth Caritas | HIX | $60.35 | — |
| Molina | MCR | $67.45 | — |
| AvMed | FullyInsured | $74.55 | — |
| Cigna | PPO | $74.55 | — |
| Cigna | HMO | $74.55 | — |
| Humana | HMO | $74.55 | — |
| Health Sun Health Plan | MGMCR | $75.61 | — |
| AIDS Healthcare | MGMCR | $78.10 | — |
| BCBS | BSLNON-PAR | $80.23 | — |
| BCBS | PHS | $80.23 | — |
| MMM of FL (Health Advantage Plan) | MCR | $81.65 | — |
| United PPO | OptionsPPO | $84.14 | — |
| AvMed | ASOEO | $85.20 | — |
| AvMed | Flex | $92.30 | — |
| Sunshine State Health Plan | QHP | $92.30 | — |
| AvMed | Select | $92.30 | — |
| AvMed | Empower | $92.30 | — |
| AvMed | Engage | $92.30 | — |
| AvMed | Focus | $92.30 | — |
| Molina | HIX | $95.85 | — |
| Aetna | ASA | $106.50 | — |
| Humana | PPO | $120.70 | — |
| United | GlobalBenefitPlanAppendix | $159.75 | — |
| AvMed | MDCSelectOON | $177.50 | — |
| AvMed | JacksonFirstNetworkOON | $177.50 | — |
| Prime Health Sherriff | COMM | $177.50 | — |
| Plotkin Health | COMM | $177.50 | — |
| AvMed | JHSSelectHMO | $177.50 | — |
| Medica HealthCare | MCR | $209.45 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $266.25 | — |
| Evernorth BH | COMM | $284.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $301.75 | — |
| AIDS Healthcare | MGMCD | $426.00 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Enfuvirtide injection at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY | $416.37 | $0.99 – $0.99 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $0.54 – $0.54 |
| cleveland clinic florida weston hospital | Weston | not published | $0.69 – $1.05 |
| martin north hospital | Stuart | not published | $0.69 – $1.00 |
| indian river hospital | Vero Beach | not published | $0.69 – $1.26 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $0.71 – $0.71 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $0.54 – $0.54 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $0.54 – $0.54 |