Prgrmg eval implantable dfb 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.
$38.44 with Freedom Health vs $536.40 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $38.44 | — |
| Optimum | MGMCR | $38.44 | — |
| CorVel Corporation | WORKERSCOMP | $39.90 | — |
| Prime Health | WORKERSCOMP | $40.74 | — |
| CareWorks (Rockport) | WORKERSCOMP | $40.74 | — |
| AvMed | HIX | $53.64 | — |
| Simply Healthcare Plans | MGMCR | $58.11 | — |
| Freedom Health | MGMCD | $71.52 | — |
| Oscar | HIX | $71.52 | — |
| AmeriHealth Caritas | HIX | $75.99 | — |
| Molina | MCR | $84.93 | — |
| Cigna | PPO | $93.87 | — |
| AvMed | FullyInsured | $93.87 | — |
| Cigna | HMO | $93.87 | — |
| Health Sun Health Plan | MGMCR | $95.21 | — |
| AIDS Healthcare | MGMCR | $98.34 | — |
| MMM of FL (Health Advantage Plan) | MCR | $102.81 | — |
| United PPO | OptionsPPO | $105.94 | — |
| AvMed | ASOEO | $107.28 | — |
| AvMed | Engage | $116.22 | — |
| AvMed | Focus | $116.22 | — |
| AvMed | Select | $116.22 | — |
| AvMed | Empower | $116.22 | — |
| AvMed | Flex | $116.22 | — |
| Molina | HIX | $120.69 | — |
| Aetna | ASA | $134.10 | — |
| United | GlobalBenefitPlanAppendix | $201.15 | — |
| AvMed | JacksonFirstNetworkOON | $223.50 | — |
| Prime Health Sherriff | COMM | $223.50 | — |
| Plotkin Health | COMM | $223.50 | — |
| AvMed | JHSSelectHMO | $223.50 | — |
| AvMed | MDCSelectOON | $223.50 | — |
| Medica HealthCare | MCR | $263.73 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $335.25 | — |
| Evernorth BH | COMM | $357.60 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $379.95 | — |
| AIDS Healthcare | MGMCD | $536.40 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $581.10 | $22.77 – $804.60 |
| Adventhealth Daytona Beach | Daytona Beach | $132.07 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $132.07 | $37.03 – $83.24 |
| cleveland clinic florida weston hospital | Weston | $531.70 | $21.15 – $268.00 |
| martin north hospital | Stuart | $531.70 | $22.26 – $550.00 |
| indian river hospital | Vero Beach | $357.50 | $21.15 – $550.00 |
| Boca Raton Regional Hospital | BOCA RATON | $435.50 | $38.27 – $437.51 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $581.10 | $22.07 – $804.60 |