Ghs musc tst done w/n tst non ext at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$420.00
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.
$420.00
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.
$28.98 with Aetna vs $504.00 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 |
|---|---|---|---|
| Aetna | MCR | $28.98 | ↓ -93% |
| BCBS | MCRHMO | $30.66 | ↓ -93% |
| Freedom Health | MGMCR | $36.12 | ↓ -91% |
| Optimum | MGMCR | $36.12 | ↓ -91% |
| BCBS | MBN | $42.00 | ↓ -90% |
| AvMed | HIX | $50.40 | ↓ -88% |
| CorVel Corporation | WORKERSCOMP | $51.30 | ↓ -88% |
| CareWorks (Rockport) | WORKERSCOMP | $52.38 | ↓ -88% |
| Prime Health | WORKERSCOMP | $52.38 | ↓ -88% |
| BCBS | HMO | $52.50 | ↓ -88% |
| BCBS | SBN | $52.50 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $54.60 | ↓ -87% |
| Aetna | QHP | $60.90 | ↓ -86% |
| Freedom Health | MGMCD | $67.20 | ↓ -84% |
| Oscar | HIX | $67.20 | ↓ -84% |
| BCBS | NWB | $68.46 | ↓ -84% |
| BCBS | PPO | $68.46 | ↓ -84% |
| Aetna | HMO | $70.98 | ↓ -83% |
| AmeriHealth Caritas | HIX | $71.40 | ↓ -83% |
| Molina | MCR | $79.80 | ↓ -81% |
| Aetna | PPO | $81.90 | ↓ -81% |
| Cigna | PPO | $88.20 | ↓ -79% |
| AvMed | FullyInsured | $88.20 | ↓ -79% |
| Cigna | HMO | $88.20 | ↓ -79% |
| Humana | HMO | $88.20 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $89.46 | ↓ -79% |
| AIDS Healthcare | MGMCR | $92.40 | ↓ -78% |
| BCBS | PHS | $94.92 | ↓ -77% |
| BCBS | BSLNON-PAR | $94.92 | ↓ -77% |
| MMM of FL (Health Advantage Plan) | MCR | $96.60 | ↓ -77% |
| United PPO | OptionsPPO | $99.54 | ↓ -76% |
| AvMed | ASOEO | $100.80 | ↓ -76% |
| AvMed | Select | $109.20 | ↓ -74% |
| Sunshine State Health Plan | QHP | $109.20 | ↓ -74% |
| AvMed | Flex | $109.20 | ↓ -74% |
| AvMed | Focus | $109.20 | ↓ -74% |
| AvMed | Empower | $109.20 | ↓ -74% |
| AvMed | Engage | $109.20 | ↓ -74% |
| Molina | HIX | $113.40 | ↓ -73% |
| Aetna | ASA | $126.00 | ↓ -70% |
| Humana | PPO | $142.80 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $189.00 | ↓ -55% |
| AvMed | JHSSelectHMO | $210.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $210.00 | ↓ -50% |
| AvMed | MDCSelectOON | $210.00 | ↓ -50% |
| Plotkin Health | COMM | $210.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $210.00 | ↓ -50% |
| Medica HealthCare | MCR | $247.80 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $315.00 | ↓ -25% |
| Evernorth BH | COMM | $336.00 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $357.00 | ↓ -15% |
| AIDS Healthcare | MGMCD | $504.00 | ↑ +20% |
Visitor-reported prices
Comments
Ghs musc tst done w/n tst non ext at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $219.05 | $58.30 – $303.30 |
| West Kendall Baptist Hospital | MIAMI | $219.05 | $57.63 – $303.30 |
| Adventhealth Daytona Beach | Daytona Beach | $199.10 | not published |
| Adventhealth Tampa | Tampa | $442.64 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $441.00 | $47.50 – $48.50 |
| cleveland clinic florida weston hospital | Weston | $656.50 | $31.27 – $593.30 |
| martin north hospital | Stuart | $453.70 | $58.94 – $468.00 |
| indian river hospital | Vero Beach | $656.50 | $33.46 – $675.00 |