Pretreat rbc w enzyme reference at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$469.00
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.
$469.00
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.
$40.33 with Freedom Health vs $562.80 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $40.33 | ↓ -91% |
| Optimum | MGMCR | $40.33 | ↓ -91% |
| CorVel Corporation | WORKERSCOMP | $47.11 | ↓ -90% |
| Prime Health | WORKERSCOMP | $48.10 | ↓ -90% |
| CareWorks (Rockport) | WORKERSCOMP | $48.10 | ↓ -90% |
| AvMed | HIX | $56.28 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $60.97 | ↓ -87% |
| Oscar | HIX | $75.04 | ↓ -84% |
| Freedom Health | MGMCD | $75.04 | ↓ -84% |
| AmeriHealth Caritas | HIX | $79.73 | ↓ -83% |
| Molina | MCR | $89.11 | ↓ -81% |
| Humana | HMO | $98.49 | ↓ -79% |
| AvMed | FullyInsured | $98.49 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $99.90 | ↓ -79% |
| AIDS Healthcare | MGMCR | $103.18 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $107.87 | ↓ -77% |
| United PPO | OptionsPPO | $111.15 | ↓ -76% |
| AvMed | ASOEO | $112.56 | ↓ -76% |
| AvMed | Flex | $121.94 | ↓ -74% |
| AvMed | Focus | $121.94 | ↓ -74% |
| Sunshine State Health Plan | QHP | $121.94 | ↓ -74% |
| AvMed | Engage | $121.94 | ↓ -74% |
| AvMed | Select | $121.94 | ↓ -74% |
| AvMed | Empower | $121.94 | ↓ -74% |
| Molina | HIX | $126.63 | ↓ -73% |
| Aetna | ASA | $140.70 | ↓ -70% |
| Humana | PPO | $159.46 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $211.05 | ↓ -55% |
| Prime Health Sherriff | COMM | $234.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $234.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $234.50 | ↓ -50% |
| AvMed | MDCSelectOON | $234.50 | ↓ -50% |
| Plotkin Health | COMM | $234.50 | ↓ -50% |
| Medica HealthCare | MCR | $276.71 | ↓ -41% |
| United | AllPayerAppendix | $291.26 | ↓ -38% |
| Multiplan | COMMPPOPRIMARYNETWORK | $351.75 | ↓ -25% |
| Evernorth BH | COMM | $375.20 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $398.65 | ↓ -15% |
| AIDS Healthcare | MGMCD | $562.80 | ↑ +20% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Pretreat rbc w enzyme reference at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $167.05 | $51.52 – $218.45 |
| martin north hospital | Stuart | $167.05 | $54.23 – $195.71 |
| indian river hospital | Vero Beach | $167.05 | $51.52 – $205.60 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $71.00 | $45.36 – $291.26 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $1,508.00 | $47.11 – $291.26 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $878.80 | $40.19 – $291.26 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $124.00 | $47.11 – $291.26 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES | $309.06 | $291.26 – $291.26 |