Prgr stim/pace a/iv drug 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.
$1,250.49 with Aetna vs $43,464.00 with AvMed — 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 | $1,250.49 | — |
| BCBS | MCRHMO | $1,322.98 | — |
| Simply Healthcare Plans | MGMCR | $2,355.99 | — |
| Aetna | QHP | $2,627.84 | — |
| Freedom Health | MGMCD | $2,899.68 | — |
| Aetna | HMO | $3,062.79 | — |
| Molina | MCR | $3,443.37 | — |
| Aetna | PPO | $3,533.99 | — |
| United PPO | OptionsPPO | $4,295.15 | — |
| AvMed | Focus | $4,711.98 | — |
| AvMed | Select | $4,711.98 | — |
| AvMed | Empower | $4,711.98 | — |
| AvMed | Engage | $4,711.98 | — |
| AvMed | Flex | $4,711.98 | — |
| Aetna | ASA | $5,436.90 | — |
| Sunshine State Health Plan | QHP | $6,826.00 | — |
| Health Sun Health Plan | MGMCR | $7,350.00 | — |
| Freedom Health | MGMCR | $8,000.00 | — |
| Optimum | MGMCR | $8,000.00 | — |
| Molina | HIX | $8,010.00 | — |
| United | GlobalBenefitPlanAppendix | $8,155.35 | — |
| AIDS Healthcare | MGMCR | $8,300.00 | — |
| MMM of FL (Health Advantage Plan) | MCR | $8,300.00 | — |
| AvMed | JHSSelectHMO | $9,061.50 | — |
| Prime Health Sherriff | COMM | $9,061.50 | — |
| Plotkin Health | COMM | $9,061.50 | — |
| AvMed | MDCSelectOON | $9,061.50 | — |
| AvMed | JacksonFirstNetworkOON | $9,061.50 | — |
| Medica HealthCare | MCR | $10,692.57 | — |
| CorVel Corporation | WORKERSCOMP | $11,370.38 | — |
| CareWorks (Rockport) | WORKERSCOMP | $11,609.76 | — |
| Prime Health | WORKERSCOMP | $11,609.76 | — |
| BCBS | MBN | $13,299.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $13,592.25 | — |
| Evernorth BH | COMM | $14,498.40 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $15,404.55 | — |
| BCBS | NWB | $17,000.00 | — |
| BCBS | PPO | $17,000.00 | — |
| BCBS | SBN | $17,140.00 | — |
| BCBS | HMO | $17,140.00 | — |
| Cigna | HMO | $17,341.00 | — |
| Cigna | PPO | $17,341.00 | — |
| Humana | HMO | $17,832.00 | — |
| United | AllPayerAppendix | $18,000.00 | — |
| BCBS | PHS | $21,368.00 | — |
| BCBS | BSLNON-PAR | $21,368.00 | — |
| Humana | PPO | $21,400.00 | — |
| AvMed | HIX | $21,609.00 | — |
| AIDS Healthcare | MGMCD | $21,747.60 | — |
| AmeriHealth Caritas | HIX | $30,632.00 | — |
| Oscar | HIX | $34,754.00 | — |
| AvMed | FullyInsured | $39,569.00 | — |
| AvMed | ASOEO | $43,464.00 | — |
Visitor-reported prices
Comments
Prgr stim/pace a/iv drug at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $5,185.70 | $173.17 – $7,180.20 |
| West Kendall Baptist Hospital | MIAMI | $5,185.70 | $1,364.24 – $7,180.20 |
| Adventhealth Daytona Beach | Daytona Beach | $18,702.10 | not published |
| Adventhealth Tampa | Tampa | $9,589.45 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $30,447.00 | $10,428.35 – $10,647.89 |
| Adventhealth Port Charlotte | Port Charlotte | $9,109.98 | not published |
| cleveland clinic florida weston hospital | Weston | $8,132.15 | $27.47 – $19,642.00 |
| martin north hospital | Stuart | $7,852.00 | $280.15 – $16,407.00 |