Manipulation chest wall initial demonstration/evaluation at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$926.00
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.
$926.00
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.
$28.50 with CorVel Corporation vs $1,111.20 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $28.50 | ↓ -97% |
| Prime Health | WORKERSCOMP | $29.10 | ↓ -97% |
| CareWorks (Rockport) | WORKERSCOMP | $29.10 | ↓ -97% |
| Optimum | MGMCR | $79.64 | ↓ -91% |
| Freedom Health | MGMCR | $79.64 | ↓ -91% |
| BCBS | MBN | $92.60 | ↓ -90% |
| AvMed | HIX | $111.12 | ↓ -88% |
| BCBS | SBN | $115.75 | ↓ -88% |
| BCBS | HMO | $115.75 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $120.38 | ↓ -87% |
| Aetna | QHP | $134.27 | ↓ -86% |
| Freedom Health | MGMCD | $148.16 | ↓ -84% |
| Oscar | HIX | $148.16 | ↓ -84% |
| BCBS | PPO | $150.94 | ↓ -84% |
| BCBS | NWB | $150.94 | ↓ -84% |
| Aetna | HMO | $156.49 | ↓ -83% |
| AmeriHealth Caritas | HIX | $157.42 | ↓ -83% |
| Molina | MCR | $175.94 | ↓ -81% |
| Aetna | PPO | $180.57 | ↓ -81% |
| AvMed | FullyInsured | $194.46 | ↓ -79% |
| Cigna | PPO | $194.46 | ↓ -79% |
| Humana | HMO | $194.46 | ↓ -79% |
| Cigna | HMO | $194.46 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $197.24 | ↓ -79% |
| AIDS Healthcare | MGMCR | $203.72 | ↓ -78% |
| BCBS | BSLNON-PAR | $209.28 | ↓ -77% |
| BCBS | PHS | $209.28 | ↓ -77% |
| MMM of FL (Health Advantage Plan) | MCR | $212.98 | ↓ -77% |
| United PPO | OptionsPPO | $219.46 | ↓ -76% |
| AvMed | ASOEO | $222.24 | ↓ -76% |
| AvMed | Focus | $240.76 | ↓ -74% |
| Sunshine State Health Plan | QHP | $240.76 | ↓ -74% |
| AvMed | Select | $240.76 | ↓ -74% |
| AvMed | Empower | $240.76 | ↓ -74% |
| AvMed | Engage | $240.76 | ↓ -74% |
| AvMed | Flex | $240.76 | ↓ -74% |
| Molina | HIX | $250.02 | ↓ -73% |
| Aetna | ASA | $277.80 | ↓ -70% |
| Humana | PPO | $314.84 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $416.70 | ↓ -55% |
| Plotkin Health | COMM | $463.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $463.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $463.00 | ↓ -50% |
| AvMed | MDCSelectOON | $463.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $463.00 | ↓ -50% |
| Medica HealthCare | MCR | $546.34 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $694.50 | ↓ -25% |
| Evernorth BH | COMM | $740.80 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $787.10 | ↓ -15% |
| AIDS Healthcare | MGMCD | $1,111.20 | ↑ +20% |
Visitor-reported prices
Comments
Manipulation chest wall initial demonstration/evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $194.35 | $36.79 – $269.10 |
| West Kendall Baptist Hospital | MIAMI | $194.35 | $35.66 – $269.10 |
| Adventhealth Daytona Beach | Daytona Beach | $430.94 | $131.99 – $231.89 |
| Adventhealth Lake Wales | Lake Wales | $333.94 | $138.94 – $308.45 |
| Adventhealth Palm Coast Parkway | Palm Coast | $424.40 | $131.99 – $296.76 |
| Adventhealth Tampa | Tampa | $389.59 | $138.94 – $308.45 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $247.62 | $131.99 – $303.51 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $250.00 | $25.65 – $26.19 |