Pegloticase 8 mg/ml intravenous solution at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$186,822.00
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.
$186,822.00
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.
$3,458.36 with Humana vs $224,186.40 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 | $3,458.36 | ↓ -98% |
| United | AllPayerAppendix | $6,218.54 | ↓ -97% |
| Freedom Health | MGMCR | $16,066.69 | ↓ -91% |
| Optimum | MGMCR | $16,066.69 | ↓ -91% |
| BCBS | MBN | $18,682.20 | ↓ -90% |
| BCBS | SBN | $23,352.75 | ↓ -88% |
| BCBS | HMO | $23,352.75 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $24,286.86 | ↓ -87% |
| Freedom Health | MGMCD | $29,891.52 | ↓ -84% |
| BCBS | NWB | $30,451.99 | ↓ -84% |
| BCBS | PPO | $30,451.99 | ↓ -84% |
| BCBS | BSLNON-PAR | $42,221.77 | ↓ -77% |
| BCBS | PHS | $42,221.77 | ↓ -77% |
| MMM of FL (Health Advantage Plan) | MCR | $42,969.06 | ↓ -77% |
| United PPO | OptionsPPO | $44,276.81 | ↓ -76% |
| AvMed | Empower | $48,573.72 | ↓ -74% |
| AvMed | Select | $48,573.72 | ↓ -74% |
| AvMed | Focus | $48,573.72 | ↓ -74% |
| AvMed | Flex | $48,573.72 | ↓ -74% |
| AvMed | Engage | $48,573.72 | ↓ -74% |
| Aetna | ASA | $56,046.60 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $84,069.90 | ↓ -55% |
| AvMed | MDCSelectOON | $93,411.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $93,411.00 | ↓ -50% |
| Plotkin Health | COMM | $93,411.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $93,411.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $93,411.00 | ↓ -50% |
| Medica HealthCare | MCR | $110,224.98 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $140,116.50 | ↓ -25% |
| Evernorth BH | COMM | $149,457.60 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $158,798.70 | ↓ -15% |
| AIDS Healthcare | MGMCD | $224,186.40 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Pegloticase 8 mg/ml intravenous solution at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $14,160.25 | $3,660.83 – $19,606.50 |
| West Kendall Baptist Hospital | MIAMI | $14,160.25 | $3,660.83 – $19,606.50 |
| cleveland clinic florida weston hospital | Weston | $71,938.60 | $573.29 – $10,581.37 |
| martin north hospital | Stuart | $71,938.60 | $648.55 – $12,697.64 |
| indian river hospital | Vero Beach | $71,938.60 | $517.96 – $10,581.37 |
| Bethesda Hospital East | BOYNTON BEACH | $14,160.25 | $3,660.83 – $19,606.50 |
| Doctors Hospital | CORAL GABLES | $14,160.25 | $3,660.83 – $19,606.50 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $14,160.25 | $3,660.83 – $19,606.50 |