Pq biliary strict dil s&i at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$986.00
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.
$986.00
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.
$68.03 with Aetna vs $1,183.20 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 |
|---|---|---|---|
| Aetna | MCR | $68.03 | ↓ -93% |
| BCBS | MCRHMO | $71.98 | ↓ -93% |
| Freedom Health | MGMCR | $84.80 | ↓ -91% |
| Optimum | MGMCR | $84.80 | ↓ -91% |
| AvMed | HIX | $118.32 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $128.18 | ↓ -87% |
| Freedom Health | MGMCD | $157.76 | ↓ -84% |
| Molina | MCR | $187.34 | ↓ -81% |
| Humana | HMO | $207.06 | ↓ -79% |
| AvMed | FullyInsured | $207.06 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $210.02 | ↓ -79% |
| AIDS Healthcare | MGMCR | $216.92 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $226.78 | ↓ -77% |
| United PPO | OptionsPPO | $233.68 | ↓ -76% |
| AvMed | ASOEO | $236.64 | ↓ -76% |
| AvMed | Select | $256.36 | ↓ -74% |
| AvMed | Focus | $256.36 | ↓ -74% |
| AvMed | Flex | $256.36 | ↓ -74% |
| AvMed | Engage | $256.36 | ↓ -74% |
| AvMed | Empower | $256.36 | ↓ -74% |
| Sunshine State Health Plan | QHP | $256.36 | ↓ -74% |
| Molina | HIX | $266.22 | ↓ -73% |
| Aetna | ASA | $295.80 | ↓ -70% |
| Humana | PPO | $335.24 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $443.70 | ↓ -55% |
| Plotkin Health | COMM | $493.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $493.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $493.00 | ↓ -50% |
| AvMed | MDCSelectOON | $493.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $493.00 | ↓ -50% |
| Medica HealthCare | MCR | $581.74 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $739.50 | ↓ -25% |
| Evernorth BH | COMM | $788.80 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $838.10 | ↓ -15% |
| CorVel Corporation | WORKERSCOMP | $857.41 | ↓ -13% |
| Prime Health | WORKERSCOMP | $875.46 | ↓ -11% |
| CareWorks (Rockport) | WORKERSCOMP | $875.46 | ↓ -11% |
| AIDS Healthcare | MGMCD | $1,183.20 | ↑ +20% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Pq biliary strict dil s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $5,865.60 | $129.63 – $8,121.60 |
| West Kendall Baptist Hospital | MIAMI | $5,865.60 | $125.66 – $8,121.60 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $4,403.00 | $786.37 – $802.93 |
| Adventhealth Port Charlotte | Port Charlotte | $4,211.55 | not published |
| cleveland clinic florida weston hospital | Weston | $1,602.25 | $37.79 – $1,747.60 |
| martin north hospital | Stuart | $1,336.40 | $33.81 – $1,028.00 |
| indian river hospital | Vero Beach | $1,336.40 | $39.65 – $1,644.80 |
| Bethesda Hospital East | BOYNTON BEACH | $5,865.60 | $129.63 – $8,121.60 |