Pouch drainable w barrier at at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
not published by hospital
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.
not published by hospital
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.
$2.61 with Aetna vs $21.60 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 |
|---|---|---|---|
| Aetna | QHP | $2.61 | — |
| Freedom Health | MGMCD | $2.88 | — |
| Aetna | HMO | $3.04 | — |
| Aetna | PPO | $3.51 | — |
| MMM of FL (Health Advantage Plan) | MCR | $4.14 | — |
| United PPO | OptionsPPO | $4.27 | — |
| AvMed | Empower | $4.68 | — |
| AvMed | Focus | $4.68 | — |
| AvMed | Flex | $4.68 | — |
| AvMed | Engage | $4.68 | — |
| AvMed | Select | $4.68 | — |
| Humana | TRICR | $4.89 | — |
| HUMANA | MGMCRPPO | $4.99 | — |
| HUMANA | MGMCRHMO | $4.99 | — |
| CarePlus SFL | MGMCR | $5.04 | — |
| United | GVT | $5.04 | — |
| Kindred Hospice | FEDERAL | $5.04 | — |
| Devoted Health | MCR | $5.04 | — |
| Leon Health | MCR | $5.04 | — |
| Veterans Evaluation Services | MCR | $5.04 | — |
| Wellmed | MGMCR | $5.04 | — |
| NDMS Definitive Care | MGMCR | $5.04 | — |
| Cigna HealthSpring | MGMCR | $5.04 | — |
| United Behavioral Health | VACCN | $5.04 | — |
| BCBS | MCRPPO | $5.14 | — |
| United | MCR | $5.14 | — |
| BCBS | MCRHMO | $5.14 | — |
| Aetna | MCR | $5.19 | — |
| Oscar | MCR | $5.29 | — |
| Sunshine State | MCR | $5.29 | — |
| Prominence HealthFirst | MCRHMO | $5.29 | — |
| American Health Plan | MCR | $5.34 | — |
| Florida Complete Care | MCR | $5.39 | — |
| Align | MCR | $5.39 | — |
| Aetna | ASA | $5.40 | — |
| AvMed | MCR | $5.44 | — |
| Sunshine State | MCD | $5.54 | — |
| Doctors Healthcare Plan | MCR | $5.54 | — |
| Centurion | GVT | $5.54 | — |
| Gold Kidney | MCR | $5.64 | — |
| AmeriHealth Caritas | MGMCR | $6.05 | — |
| Longevity Health Plan | MCR | $6.05 | — |
| Solis Health Plan | MCR | $7.31 | — |
| United | GlobalBenefitPlanAppendix | $8.10 | — |
| Prime Health Sherriff | COMM | $9.00 | — |
| AvMed | JHSSelectHMO | $9.00 | — |
| AvMed | JacksonFirstNetworkOON | $9.00 | — |
| AvMed | MDCSelectOON | $9.00 | — |
| Plotkin Health | COMM | $9.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $13.50 | — |
| Evernorth BH | COMM | $14.40 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $15.30 | — |
| AIDS Healthcare | MGMCD | $21.60 | — |
Visitor-reported prices
Comments
Pouch drainable w barrier at at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $31.00 | $4.89 – $10.58 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $10.00 | $4.89 – $7.31 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | $21.52 | $4.89 – $5.54 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring | $7.00 | $5.04 – $6.05 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON | $26.46 | $4.89 – $5.75 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY | $8.00 | $4.89 – $6.05 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE | $65.00 | $4.89 – $7.31 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE | $8.78 | $4.89 – $5.75 |