Established Patient Office Visit (level 1) 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.
$18.05 with CorVel Corporation vs $841.20 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 | $18.05 | — |
| CareWorks (Rockport) | WORKERSCOMP | $18.43 | — |
| Prime Health | WORKERSCOMP | $18.43 | — |
| Aetna | MCR | $48.37 | — |
| BCBS | MCRHMO | $51.17 | — |
| Freedom Health | MGMCR | $60.29 | — |
| Optimum | MGMCR | $60.29 | — |
| BCBS | MBN | $70.10 | — |
| BCBS | SBN | $87.63 | — |
| BCBS | HMO | $87.63 | — |
| Simply Healthcare Plans | MGMCR | $91.13 | — |
| Aetna | QHP | $101.64 | — |
| Freedom Health | MGMCD | $112.16 | — |
| BCBS | NWB | $114.26 | — |
| BCBS | PPO | $114.26 | — |
| Aetna | HMO | $118.47 | — |
| Oscar | HIX | $126.88 | — |
| Molina | MCR | $133.19 | — |
| AmeriHealth Caritas | HIX | $134.81 | — |
| Aetna | PPO | $136.69 | — |
| Cigna | PPO | $147.21 | — |
| Cigna | HMO | $147.21 | — |
| Humana | HMO | $147.21 | — |
| Health Sun Health Plan | MGMCR | $149.31 | — |
| AIDS Healthcare | MGMCR | $154.22 | — |
| BCBS | PHS | $158.43 | — |
| BCBS | BSLNON-PAR | $158.43 | — |
| MMM of FL (Health Advantage Plan) | MCR | $161.23 | — |
| United PPO | OptionsPPO | $166.14 | — |
| Sunshine State Health Plan | QHP | $182.26 | — |
| Molina | HIX | $189.27 | — |
| Aetna | ASA | $210.30 | — |
| Humana | PPO | $238.34 | — |
| United | GlobalBenefitPlanAppendix | $315.45 | — |
| Prime Health Sherriff | COMM | $350.50 | — |
| Plotkin Health | COMM | $350.50 | — |
| AvMed | MDCSelectOON | $396.50 | — |
| AvMed | JHSSelectHMO | $396.50 | — |
| AvMed | JacksonFirstNetworkOON | $396.50 | — |
| Medica HealthCare | MCR | $413.59 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $525.75 | — |
| Evernorth BH | COMM | $560.80 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $595.85 | — |
| AIDS Healthcare | MGMCD | $841.20 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $360.75 | $7.79 – $173.17 |
| West Kendall Baptist Hospital | MIAMI | $360.75 | $27.70 – $145.80 |
| Adventhealth Daytona Beach | Daytona Beach | $265.94 | not published |
| Adventhealth Lake Wales | Lake Wales | $543.34 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $360.17 | not published |
| Adventhealth Tampa | Tampa | $313.58 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $197.87 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $584.72 | not published |