Psychotherapy patient individual therapy 45 minutes at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$1,009.00
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.
$1,009.00
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.
$86.77 with Optimum vs $1,210.80 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 |
|---|---|---|---|
| Optimum | MGMCR | $86.77 | ↓ -91% |
| Freedom Health | MGMCR | $86.77 | ↓ -91% |
| CorVel Corporation | WORKERSCOMP | $94.05 | ↓ -91% |
| Prime Health | WORKERSCOMP | $96.03 | ↓ -90% |
| CareWorks (Rockport) | WORKERSCOMP | $96.03 | ↓ -90% |
| BCBS | MBN | $100.90 | ↓ -90% |
| AvMed | HIX | $121.08 | ↓ -88% |
| BCBS | SBN | $126.13 | ↓ -87% |
| BCBS | HMO | $126.13 | ↓ -87% |
| Simply Healthcare Plans | MGMCR | $131.17 | ↓ -87% |
| Aetna | QHP | $146.31 | ↓ -85% |
| Freedom Health | MGMCD | $161.44 | ↓ -84% |
| Oscar | HIX | $161.44 | ↓ -84% |
| BCBS | PPO | $164.47 | ↓ -84% |
| BCBS | NWB | $164.47 | ↓ -84% |
| Aetna | HMO | $170.52 | ↓ -83% |
| AmeriHealth Caritas | HIX | $171.53 | ↓ -83% |
| Molina | MCR | $191.71 | ↓ -81% |
| Aetna | PPO | $196.75 | ↓ -81% |
| AvMed | FullyInsured | $211.89 | ↓ -79% |
| Cigna | PPO | $211.89 | ↓ -79% |
| Humana | HMO | $211.89 | ↓ -79% |
| Cigna | HMO | $211.89 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $214.92 | ↓ -79% |
| AIDS Healthcare | MGMCR | $221.98 | ↓ -78% |
| BCBS | BSLNON-PAR | $228.03 | ↓ -77% |
| BCBS | PHS | $228.03 | ↓ -77% |
| MMM of FL (Health Advantage Plan) | MCR | $232.07 | ↓ -77% |
| United PPO | OptionsPPO | $239.13 | ↓ -76% |
| AvMed | ASOEO | $242.16 | ↓ -76% |
| AvMed | Focus | $262.34 | ↓ -74% |
| Sunshine State Health Plan | QHP | $262.34 | ↓ -74% |
| AvMed | Select | $262.34 | ↓ -74% |
| AvMed | Empower | $262.34 | ↓ -74% |
| AvMed | Engage | $262.34 | ↓ -74% |
| AvMed | Flex | $262.34 | ↓ -74% |
| Molina | HIX | $272.43 | ↓ -73% |
| Aetna | ASA | $302.70 | ↓ -70% |
| Humana | PPO | $343.06 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $454.05 | ↓ -55% |
| Plotkin Health | COMM | $504.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $504.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $504.50 | ↓ -50% |
| AvMed | MDCSelectOON | $504.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $504.50 | ↓ -50% |
| Medica HealthCare | MCR | $595.31 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $756.75 | ↓ -25% |
| Evernorth BH | COMM | $807.20 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $857.65 | ↓ -15% |
| AIDS Healthcare | MGMCD | $1,210.80 | ↑ +20% |
Visitor-reported prices
Comments
Psychotherapy patient individual therapy 45 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $418.60 | $92.61 – $579.60 |
| Adventhealth Tampa | Tampa | $1,649.95 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $535.00 | not published |
| cleveland clinic florida weston hospital | Weston | $637.00 | $46.96 – $512.55 |
| martin north hospital | Stuart | $637.00 | $82.21 – $735.00 |
| indian river hospital | Vero Beach | $637.00 | $46.96 – $833.00 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $224.83 | $154.83 – $330.62 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $577.00 | $212.23 – $216.70 |