ER Visit (level 2) 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.
$52.25 with CorVel Corporation vs $4,946.40 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 | — |
| Prime Health | WORKERSCOMP | $53.35 | — |
| CareWorks (Rockport) | WORKERSCOMP | $53.35 | — |
| Freedom Health | MGMCD | $659.52 | — |
| Molina | HIX | $800.00 | — |
| United PPO | OptionsPPO | $976.91 | — |
| AvMed | HIX | $1,028.00 | — |
| Aetna | ASA | $1,236.60 | — |
| Sunshine State Health Plan | QHP | $1,240.00 | — |
| AmeriHealth Caritas | HIX | $1,500.00 | — |
| Oscar | HIX | $1,534.00 | — |
| United | AllPayerAppendix | $1,560.00 | — |
| BCBS | MBN | $1,685.00 | — |
| AvMed | FullyInsured | $1,781.00 | — |
| United | GlobalBenefitPlanAppendix | $1,854.90 | — |
| AvMed | ASOEO | $1,955.00 | — |
| BCBS | SBN | $2,023.00 | — |
| BCBS | HMO | $2,023.00 | — |
| Plotkin Health | COMM | $2,061.00 | — |
| AvMed | JHSSelectHMO | $2,061.00 | — |
| AvMed | JacksonFirstNetworkOON | $2,061.00 | — |
| AvMed | MDCSelectOON | $2,061.00 | — |
| Prime Health Sherriff | COMM | $2,061.00 | — |
| BCBS | PPO | $2,427.00 | — |
| BCBS | NWB | $2,427.00 | — |
| BCBS | BSLNON-PAR | $2,501.00 | — |
| BCBS | PHS | $2,501.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $3,091.50 | — |
| Cigna | HMO | $3,143.00 | — |
| Cigna | PPO | $3,143.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $3,503.70 | — |
| AIDS Healthcare | MGMCD | $4,946.40 | — |
Visitor-reported prices
Comments
ER Visit (level 2) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $698.75 | $160.34 – $967.50 |
| West Kendall Baptist Hospital | MIAMI | $698.75 | $160.34 – $967.50 |
| Adventhealth Daytona Beach | Daytona Beach | $749.79 | $152.33 – $267.61 |
| Adventhealth Lake Wales | Lake Wales | $746.62 | $160.34 – $355.96 |
| Adventhealth Palm Coast Parkway | Palm Coast | $653.33 | $152.33 – $342.48 |
| Adventhealth Tampa | Tampa | $908.86 | $160.34 – $355.96 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $841.68 | $152.33 – $350.27 |
| Adventhealth Port Charlotte | Port Charlotte | $2,584.59 | $160.34 – $292.79 |