Factor ix complex at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$10.00
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.
$10.00
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.
$0.86 with Freedom Health vs $12.00 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $0.86 | ↓ -91% |
| Optimum | MGMCR | $0.86 | ↓ -91% |
| BCBS | MBN | $1.00 | ↓ -90% |
| BCBS | HMO | $1.25 | ↓ -88% |
| BCBS | SBN | $1.25 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $1.30 | ↓ -87% |
| Freedom Health | MGMCD | $1.60 | ↓ -84% |
| Humana | TRICR | $1.61 | ↓ -84% |
| BCBS | NWB | $1.63 | ↓ -84% |
| BCBS | PPO | $1.63 | ↓ -84% |
| BCBS | PHS | $2.26 | ↓ -77% |
| BCBS | BSLNON-PAR | $2.26 | ↓ -77% |
| MMM of FL (Health Advantage Plan) | MCR | $2.30 | ↓ -77% |
| United PPO | OptionsPPO | $2.37 | ↓ -76% |
| AvMed | Focus | $2.60 | ↓ -74% |
| AvMed | Select | $2.60 | ↓ -74% |
| AvMed | Empower | $2.60 | ↓ -74% |
| AvMed | Engage | $2.60 | ↓ -74% |
| AvMed | Flex | $2.60 | ↓ -74% |
| United | AllPayerAppendix | $2.81 | ↓ -72% |
| Aetna | ASA | $3.00 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $4.50 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $5.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $5.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $5.00 | ↓ -50% |
| AvMed | MDCSelectOON | $5.00 | ↓ -50% |
| Plotkin Health | COMM | $5.00 | ↓ -50% |
| Medica HealthCare | MCR | $5.90 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $7.50 | ↓ -25% |
| Evernorth BH | COMM | $8.00 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $8.50 | ↓ -15% |
| AIDS Healthcare | MGMCD | $12.00 | ↑ +20% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Factor ix complex at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $9.00 | $1.61 – $2.81 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $3.00 | $1.61 – $2.81 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $9.92 | $1.61 – $3.66 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY | $4.38 | $1.65 – $5.10 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $14.00 | $1.61 – $2.81 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG | $4.20 | $1.61 – $3.66 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE | $12.51 | $1.61 – $3.66 |
| OVIEDO MEDICAL CENTER | Oviedo | $3.24 | $1.61 – $2.81 |