Lumizyme injection at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$8,560.00
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.
$8,560.00
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.
$195.52 with Humana vs $10,272.00 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 |
|---|---|---|---|
| Humana | TRICR | $195.52 | ↓ -98% |
| United | AllPayerAppendix | $342.19 | ↓ -96% |
| Freedom Health | MGMCR | $736.16 | ↓ -91% |
| Optimum | MGMCR | $736.16 | ↓ -91% |
| BCBS | MBN | $856.00 | ↓ -90% |
| BCBS | SBN | $1,070.00 | ↓ -88% |
| BCBS | HMO | $1,070.00 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $1,112.80 | ↓ -87% |
| Freedom Health | MGMCD | $1,369.60 | ↓ -84% |
| BCBS | NWB | $1,395.28 | ↓ -84% |
| BCBS | PPO | $1,395.28 | ↓ -84% |
| BCBS | BSLNON-PAR | $1,934.56 | ↓ -77% |
| BCBS | PHS | $1,934.56 | ↓ -77% |
| MMM of FL (Health Advantage Plan) | MCR | $1,968.80 | ↓ -77% |
| United PPO | OptionsPPO | $2,028.72 | ↓ -76% |
| AvMed | Empower | $2,225.60 | ↓ -74% |
| AvMed | Select | $2,225.60 | ↓ -74% |
| AvMed | Focus | $2,225.60 | ↓ -74% |
| AvMed | Flex | $2,225.60 | ↓ -74% |
| AvMed | Engage | $2,225.60 | ↓ -74% |
| Aetna | ASA | $2,568.00 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $3,852.00 | ↓ -55% |
| AvMed | MDCSelectOON | $4,280.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $4,280.00 | ↓ -50% |
| Plotkin Health | COMM | $4,280.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $4,280.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $4,280.00 | ↓ -50% |
| Medica HealthCare | MCR | $5,050.40 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $6,420.00 | ↓ -25% |
| Evernorth BH | COMM | $6,848.00 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $7,276.00 | ↓ -15% |
| AIDS Healthcare | MGMCD | $10,272.00 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Lumizyme injection at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $1,582.75 | $206.59 – $15,972.11 |
| West Kendall Baptist Hospital | MIAMI | $1,582.75 | $206.59 – $15,925.64 |
| cleveland clinic florida weston hospital | Weston | $2,370.97 | $177.57 – $15,211.52 |
| martin north hospital | Stuart | $2,370.97 | $201.97 – $18,253.82 |
| indian river hospital | Vero Beach | $2,370.97 | $201.97 – $15,211.52 |
| Bethesda Hospital East | BOYNTON BEACH | $1,582.75 | $206.59 – $15,972.11 |
| Doctors Hospital | CORAL GABLES | $1,582.75 | $206.59 – $15,925.64 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,582.75 | $206.59 – $15,925.64 |