Interrog dev eval icpms ip 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$21.41 with Freedom Health vs $298.80 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $21.41 | — |
| Optimum | MGMCR | $21.41 | — |
| CorVel Corporation | WORKERSCOMP | $28.50 | — |
| Prime Health | WORKERSCOMP | $29.10 | — |
| CareWorks (Rockport) | WORKERSCOMP | $29.10 | — |
| AvMed | HIX | $29.88 | — |
| Simply Healthcare Plans | MGMCR | $32.37 | — |
| Freedom Health | MGMCD | $39.84 | — |
| Oscar | HIX | $39.84 | — |
| AmeriHealth Caritas | HIX | $42.33 | — |
| Molina | MCR | $47.31 | — |
| Cigna | PPO | $52.29 | — |
| AvMed | FullyInsured | $52.29 | — |
| Cigna | HMO | $52.29 | — |
| Health Sun Health Plan | MGMCR | $53.04 | — |
| AIDS Healthcare | MGMCR | $54.78 | — |
| MMM of FL (Health Advantage Plan) | MCR | $57.27 | — |
| United PPO | OptionsPPO | $59.01 | — |
| AvMed | ASOEO | $59.76 | — |
| AvMed | Engage | $64.74 | — |
| AvMed | Focus | $64.74 | — |
| AvMed | Select | $64.74 | — |
| AvMed | Empower | $64.74 | — |
| AvMed | Flex | $64.74 | — |
| Molina | HIX | $67.23 | — |
| Aetna | ASA | $74.70 | — |
| United | GlobalBenefitPlanAppendix | $112.05 | — |
| AvMed | JacksonFirstNetworkOON | $124.50 | — |
| Prime Health Sherriff | COMM | $124.50 | — |
| Plotkin Health | COMM | $124.50 | — |
| AvMed | JHSSelectHMO | $124.50 | — |
| AvMed | MDCSelectOON | $124.50 | — |
| Medica HealthCare | MCR | $146.91 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $186.75 | — |
| Evernorth BH | COMM | $199.20 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $211.65 | — |
| AIDS Healthcare | MGMCD | $298.80 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Interrog dev eval icpms ip at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $201.50 | $22.77 – $279.00 |
| Adventhealth Palm Coast Parkway | Palm Coast | $251.85 | $37.03 – $83.24 |
| cleveland clinic florida weston hospital | Weston | $297.05 | $8.18 – $227.80 |
| martin north hospital | Stuart | $174.20 | $22.26 – $189.00 |
| indian river hospital | Vero Beach | $174.20 | $21.15 – $214.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $201.50 | $22.07 – $279.00 |
| Homestead Hospital | HOMESTEAD | $201.50 | $22.07 – $279.00 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $214.00 | $27.55 – $28.13 |