Kidney function study at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$1,061.00
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.
$1,061.00
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.
$91.25 with Freedom Health vs $2,255.46 with Prime Health — 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 | $91.25 | ↓ -91% |
| Optimum | MGMCR | $91.25 | ↓ -91% |
| AvMed | HIX | $127.32 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $137.93 | ↓ -87% |
| Freedom Health | MGMCD | $169.76 | ↓ -84% |
| Molina | MCR | $201.59 | ↓ -81% |
| Humana | HMO | $222.81 | ↓ -79% |
| AvMed | FullyInsured | $222.81 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $225.99 | ↓ -79% |
| AIDS Healthcare | MGMCR | $233.42 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $244.03 | ↓ -77% |
| United PPO | OptionsPPO | $251.46 | ↓ -76% |
| AvMed | ASOEO | $254.64 | ↓ -76% |
| AvMed | Focus | $275.86 | ↓ -74% |
| AvMed | Flex | $275.86 | ↓ -74% |
| AvMed | Engage | $275.86 | ↓ -74% |
| AvMed | Empower | $275.86 | ↓ -74% |
| Sunshine State Health Plan | QHP | $275.86 | ↓ -74% |
| AvMed | Select | $275.86 | ↓ -74% |
| Molina | HIX | $286.47 | ↓ -73% |
| Aetna | ASA | $318.30 | ↓ -70% |
| Humana | PPO | $360.74 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $477.45 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $530.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $530.50 | ↓ -50% |
| Plotkin Health | COMM | $530.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $530.50 | ↓ -50% |
| AvMed | MDCSelectOON | $530.50 | ↓ -50% |
| Medica HealthCare | MCR | $625.99 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $795.75 | ↓ -25% |
| United | AllPayerAppendix | $848.52 | ↓ -20% |
| Evernorth BH | COMM | $848.80 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $901.85 | ↓ -15% |
| AIDS Healthcare | MGMCD | $1,273.20 | ↑ +20% |
| CorVel Corporation | WORKERSCOMP | $2,208.96 | ↑ +108% |
| CareWorks (Rockport) | WORKERSCOMP | $2,255.46 | ↑ +113% |
| Prime Health | WORKERSCOMP | $2,255.46 | ↑ +113% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Kidney function study at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $1,064.05 | $173.17 – $1,473.30 |
| West Kendall Baptist Hospital | MIAMI | $1,064.05 | $226.86 – $1,473.30 |
| cleveland clinic florida weston hospital | Weston | $2,351.70 | $14.91 – $459.22 |
| martin north hospital | Stuart | $98.80 | $13.34 – $459.22 |
| indian river hospital | Vero Beach | $98.80 | $13.82 – $459.22 |
| Bethesda Hospital East | BOYNTON BEACH | $1,064.05 | $234.02 – $1,473.30 |
| Doctors Hospital | CORAL GABLES | $1,064.05 | $226.86 – $1,473.30 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,064.05 | $226.86 – $1,473.30 |