Lower Back (Lumbar Spine) MRI (with and without contrast) at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$20,150.00
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.
$20,150.00
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.
$828.27 with United vs $24,180.00 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 |
|---|---|---|---|
| United | AllPayerAppendix | $828.27 | ↓ -96% |
| AvMed | HIX | $1,034.00 | ↓ -95% |
| Aetna | QHP | $1,116.00 | ↓ -94% |
| Aetna | HMO | $1,462.00 | ↓ -93% |
| Optimum | MGMCR | $1,732.90 | ↓ -91% |
| Freedom Health | MGMCR | $1,732.90 | ↓ -91% |
| Aetna | PPO | $2,012.00 | ↓ -90% |
| AvMed | FullyInsured | $2,119.00 | ↓ -89% |
| AvMed | ASOEO | $2,329.00 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $2,619.50 | ↓ -87% |
| Freedom Health | MGMCD | $3,224.00 | ↓ -84% |
| CorVel Corporation | WORKERSCOMP | $3,760.46 | ↓ -81% |
| Molina | MCR | $3,828.50 | ↓ -81% |
| CareWorks (Rockport) | WORKERSCOMP | $3,839.63 | ↓ -81% |
| Prime Health | WORKERSCOMP | $3,839.63 | ↓ -81% |
| Health Sun Health Plan | MGMCR | $4,291.95 | ↓ -79% |
| AIDS Healthcare | MGMCR | $4,433.00 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $4,634.50 | ↓ -77% |
| United PPO | OptionsPPO | $4,775.55 | ↓ -76% |
| AvMed | Select | $5,239.00 | ↓ -74% |
| AvMed | Empower | $5,239.00 | ↓ -74% |
| AvMed | Flex | $5,239.00 | ↓ -74% |
| AvMed | Focus | $5,239.00 | ↓ -74% |
| Sunshine State Health Plan | QHP | $5,239.00 | ↓ -74% |
| AvMed | Engage | $5,239.00 | ↓ -74% |
| Molina | HIX | $5,440.50 | ↓ -73% |
| Aetna | ASA | $6,045.00 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $9,067.50 | ↓ -55% |
| Plotkin Health | COMM | $10,075.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $10,075.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $10,075.00 | ↓ -50% |
| AvMed | MDCSelectOON | $10,075.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $10,075.00 | ↓ -50% |
| Medica HealthCare | MCR | $11,888.50 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $15,112.50 | ↓ -25% |
| Evernorth BH | COMM | $16,120.00 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $17,127.50 | ↓ -15% |
| AIDS Healthcare | MGMCD | $24,180.00 | ↑ +20% |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (with and without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $4,846.40 | $173.17 – $6,710.40 |
| West Kendall Baptist Hospital | MIAMI | $4,846.40 | $247.73 – $6,710.40 |
| Adventhealth Daytona Beach | Daytona Beach | $7,531.00 | $346.11 – $865.63 |
| Adventhealth Lake Wales | Lake Wales | $18,799.04 | $364.32 – $958.38 |
| Adventhealth Palm Coast Parkway | Palm Coast | $7,520.61 | $346.11 – $1,177.02 |
| Adventhealth Tampa | Tampa | $8,443.80 | $364.32 – $808.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $6,349.69 | $346.11 – $1,130.31 |
| Adventhealth Port Charlotte | Port Charlotte | $11,491.19 | $364.32 – $687.95 |