Galactokinase - sendout at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$3,489.00
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.
?
What you pay up front if you don't use insurance.
$3,489.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$21.27 with HUMANA vs $4,186.80 with AIDS Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HUMANA | MGMCRHMO | $21.27 | ↓ -99% |
| HUMANA | MGMCRPPO | $21.27 | ↓ -99% |
| Humana | TRICR | $21.39 | ↓ -99% |
| Cigna HealthSpring | MGMCR | $21.48 | ↓ -99% |
| CarePlus SFL | MGMCR | $21.48 | ↓ -99% |
| Kindred Hospice | FEDERAL | $21.48 | ↓ -99% |
| Wellmed | MGMCR | $21.48 | ↓ -99% |
| NDMS Definitive Care | MGMCR | $21.48 | ↓ -99% |
| Leon Health | MCR | $21.48 | ↓ -99% |
| Devoted Health | MCR | $21.48 | ↓ -99% |
| Veterans Evaluation Services | MCR | $21.48 | ↓ -99% |
| United | GVT | $21.48 | ↓ -99% |
| United Behavioral Health | VACCN | $21.48 | ↓ -99% |
| United | AllPayerAppendix | $21.48 | ↓ -99% |
| BCBS | MCRHMO | $21.91 | ↓ -99% |
| United | MCR | $21.91 | ↓ -99% |
| BCBS | MCRPPO | $21.91 | ↓ -99% |
| Aetna | MCR | $22.12 | ↓ -99% |
| Sunshine State | MCR | $22.55 | ↓ -99% |
| Prominence HealthFirst | MCRHMO | $22.55 | ↓ -99% |
| Oscar | MCR | $22.55 | ↓ -99% |
| American Health Plan | MCR | $22.77 | ↓ -99% |
| Florida Complete Care | MCR | $22.98 | ↓ -99% |
| Align | MCR | $22.98 | ↓ -99% |
| AvMed | MCR | $23.20 | ↓ -99% |
| Sunshine State | MCD | $23.63 | ↓ -99% |
| Doctors Healthcare Plan | MCR | $23.63 | ↓ -99% |
| Centurion | GVT | $23.63 | ↓ -99% |
| Gold Kidney | MCR | $24.06 | ↓ -99% |
| Longevity Health Plan | MCR | $25.78 | ↓ -99% |
| AmeriHealth Caritas | MGMCR | $25.78 | ↓ -99% |
| Oscar | HIX | $30.29 | ↓ -99% |
| Solis Health Plan | MCR | $31.15 | ↓ -99% |
| AmeriHealth Caritas | HIX | $32.22 | ↓ -99% |
| CorVel Corporation | WORKERSCOMP | $80.61 | ↓ -98% |
| CareWorks (Rockport) | WORKERSCOMP | $82.30 | ↓ -98% |
| Prime Health | WORKERSCOMP | $82.30 | ↓ -98% |
| Freedom Health | MGMCR | $300.05 | ↓ -91% |
| Optimum | MGMCR | $300.05 | ↓ -91% |
| AvMed | HIX | $418.68 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $453.57 | ↓ -87% |
| Freedom Health | MGMCD | $558.24 | ↓ -84% |
| Molina | MCR | $662.91 | ↓ -81% |
| AvMed | FullyInsured | $732.69 | ↓ -79% |
| Humana | HMO | $732.69 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $743.16 | ↓ -79% |
| AIDS Healthcare | MGMCR | $767.58 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $802.47 | ↓ -77% |
| United PPO | OptionsPPO | $826.89 | ↓ -76% |
| AvMed | ASOEO | $837.36 | ↓ -76% |
| AvMed | Select | $907.14 | ↓ -74% |
| AvMed | Engage | $907.14 | ↓ -74% |
| AvMed | Empower | $907.14 | ↓ -74% |
| Sunshine State Health Plan | QHP | $907.14 | ↓ -74% |
| AvMed | Focus | $907.14 | ↓ -74% |
| AvMed | Flex | $907.14 | ↓ -74% |
| Molina | HIX | $942.03 | ↓ -73% |
| Aetna | ASA | $1,046.70 | ↓ -70% |
| Humana | PPO | $1,186.26 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $1,570.05 | ↓ -55% |
| Plotkin Health | COMM | $1,744.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $1,744.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $1,744.50 | ↓ -50% |
| AvMed | MDCSelectOON | $1,744.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $1,744.50 | ↓ -50% |
| Medica HealthCare | MCR | $2,058.51 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $2,616.75 | ↓ -25% |
| Evernorth BH | COMM | $2,791.20 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $2,965.65 | ↓ -15% |
| AIDS Healthcare | MGMCD | $4,186.80 | ↑ +20% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Galactokinase - sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $190.56 | $19.47 – $76.63 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $1,200.00 | $21.27 – $82.30 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $692.00 | $21.27 – $82.30 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION | $803.00 | $21.27 – $82.98 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $175.00 | $21.27 – $82.98 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka | $646.50 | $19.47 – $73.23 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC | $765.25 | $21.27 – $82.98 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $20.41 – $35.85 |