Immunology procedure at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$271.00
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.
$271.00
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.
$18.70 with Aetna vs $325.20 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 |
|---|---|---|---|
| Aetna | MCR | $18.70 | ↓ -93% |
| BCBS | MCRHMO | $19.78 | ↓ -93% |
| Optimum | MGMCR | $23.31 | ↓ -91% |
| Freedom Health | MGMCR | $23.31 | ↓ -91% |
| AvMed | HIX | $32.52 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $35.23 | ↓ -87% |
| Oscar | HIX | $43.36 | ↓ -84% |
| Freedom Health | MGMCD | $43.36 | ↓ -84% |
| AmeriHealth Caritas | HIX | $46.07 | ↓ -83% |
| Molina | MCR | $51.49 | ↓ -81% |
| Humana | HMO | $56.91 | ↓ -79% |
| AvMed | FullyInsured | $56.91 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $57.72 | ↓ -79% |
| AIDS Healthcare | MGMCR | $59.62 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $62.33 | ↓ -77% |
| CorVel Corporation | WORKERSCOMP | $63.86 | ↓ -76% |
| United PPO | OptionsPPO | $64.23 | ↓ -76% |
| AvMed | ASOEO | $65.04 | ↓ -76% |
| Prime Health | WORKERSCOMP | $65.20 | ↓ -76% |
| CareWorks (Rockport) | WORKERSCOMP | $65.20 | ↓ -76% |
| Sunshine State Health Plan | QHP | $70.46 | ↓ -74% |
| AvMed | Select | $70.46 | ↓ -74% |
| AvMed | Empower | $70.46 | ↓ -74% |
| AvMed | Engage | $70.46 | ↓ -74% |
| AvMed | Flex | $70.46 | ↓ -74% |
| AvMed | Focus | $70.46 | ↓ -74% |
| Molina | HIX | $73.17 | ↓ -73% |
| Aetna | ASA | $81.30 | ↓ -70% |
| Humana | PPO | $92.14 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $121.95 | ↓ -55% |
| Plotkin Health | COMM | $135.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $135.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $135.50 | ↓ -50% |
| AvMed | MDCSelectOON | $135.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $135.50 | ↓ -50% |
| Medica HealthCare | MCR | $159.89 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $203.25 | ↓ -25% |
| Evernorth BH | COMM | $216.80 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $230.35 | ↓ -15% |
| AIDS Healthcare | MGMCD | $325.20 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Immunology procedure at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $172.84 | not published |
| Adventhealth Tampa | Tampa | $300.98 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $164.61 | not published |
| cleveland clinic florida weston hospital | Weston | $204.10 | $5.23 – $266.90 |
| martin north hospital | Stuart | $185.25 | $5.50 – $213.75 |
| indian river hospital | Vero Beach | $204.10 | $5.23 – $251.20 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK | $43.25 | $55.12 – $58.02 |
| Adventhealth Palm Coast | Palm Coast | $172.84 | not published |