Pt evaluation high complexity patient/family at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$4,392.00
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.
$4,392.00
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.
$87.36 with HUMANA vs $5,270.40 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 |
|---|---|---|---|
| HUMANA | MGMCRHMO | $87.36 | ↓ -98% |
| HUMANA | MGMCRPPO | $87.36 | ↓ -98% |
| Wellmed | MGMCR | $88.24 | ↓ -98% |
| CarePlus SFL | MGMCR | $88.24 | ↓ -98% |
| Kindred Hospice | FEDERAL | $88.24 | ↓ -98% |
| Veterans Evaluation Services | MCR | $88.24 | ↓ -98% |
| Devoted Health | MCR | $88.24 | ↓ -98% |
| Cigna HealthSpring | MGMCR | $88.24 | ↓ -98% |
| United Behavioral Health | VACCN | $88.24 | ↓ -98% |
| NDMS Definitive Care | MGMCR | $88.24 | ↓ -98% |
| Leon Health | MCR | $88.24 | ↓ -98% |
| United | GVT | $88.24 | ↓ -98% |
| BCBS | MCRPPO | $90.00 | ↓ -98% |
| BCBS | MCRHMO | $90.00 | ↓ -98% |
| United | MCR | $90.00 | ↓ -98% |
| Aetna | MCR | $90.89 | ↓ -98% |
| Sunshine State | MCR | $92.65 | ↓ -98% |
| Prominence HealthFirst | MCRHMO | $92.65 | ↓ -98% |
| Oscar | MCR | $92.65 | ↓ -98% |
| American Health Plan | MCR | $93.53 | ↓ -98% |
| Florida Complete Care | MCR | $94.41 | ↓ -98% |
| Align | MCR | $94.41 | ↓ -98% |
| AvMed | MCR | $95.30 | ↓ -98% |
| CorVel Corporation | WORKERSCOMP | $95.95 | ↓ -98% |
| Sunshine State | MCD | $97.06 | ↓ -98% |
| Doctors Healthcare Plan | MCR | $97.06 | ↓ -98% |
| Centurion | GVT | $97.06 | ↓ -98% |
| CareWorks (Rockport) | WORKERSCOMP | $97.97 | ↓ -98% |
| Prime Health | WORKERSCOMP | $97.97 | ↓ -98% |
| Humana | TRICR | $98.18 | ↓ -98% |
| Gold Kidney | MCR | $98.83 | ↓ -98% |
| Longevity Health Plan | MCR | $105.89 | ↓ -98% |
| AmeriHealth Caritas | MGMCR | $105.89 | ↓ -98% |
| Solis Health Plan | MCR | $127.95 | ↓ -97% |
| Freedom Health | MGMCR | $377.71 | ↓ -91% |
| Optimum | MGMCR | $377.71 | ↓ -91% |
| AvMed | HIX | $527.04 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $570.96 | ↓ -87% |
| Oscar | HIX | $702.72 | ↓ -84% |
| Freedom Health | MGMCD | $702.72 | ↓ -84% |
| AmeriHealth Caritas | HIX | $746.64 | ↓ -83% |
| Molina | MCR | $834.48 | ↓ -81% |
| Cigna | HMO | $922.32 | ↓ -79% |
| Cigna | PPO | $922.32 | ↓ -79% |
| AvMed | FullyInsured | $922.32 | ↓ -79% |
| Humana | HMO | $922.32 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $935.50 | ↓ -79% |
| AIDS Healthcare | MGMCR | $966.24 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $1,010.16 | ↓ -77% |
| United PPO | OptionsPPO | $1,040.90 | ↓ -76% |
| AvMed | ASOEO | $1,054.08 | ↓ -76% |
| AvMed | Engage | $1,141.92 | ↓ -74% |
| AvMed | Flex | $1,141.92 | ↓ -74% |
| AvMed | Focus | $1,141.92 | ↓ -74% |
| Sunshine State Health Plan | QHP | $1,141.92 | ↓ -74% |
| AvMed | Select | $1,141.92 | ↓ -74% |
| AvMed | Empower | $1,141.92 | ↓ -74% |
| Molina | HIX | $1,185.84 | ↓ -73% |
| Aetna | ASA | $1,317.60 | ↓ -70% |
| Humana | PPO | $1,493.28 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $1,976.40 | ↓ -55% |
| Prime Health Sherriff | COMM | $2,196.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $2,196.00 | ↓ -50% |
| Plotkin Health | COMM | $2,196.00 | ↓ -50% |
| AvMed | MDCSelectOON | $2,196.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $2,196.00 | ↓ -50% |
| Medica HealthCare | MCR | $2,591.28 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $3,294.00 | ↓ -25% |
| Evernorth BH | COMM | $3,513.60 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $3,733.20 | ↓ -15% |
| AIDS Healthcare | MGMCD | $5,270.40 | ↑ +20% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Pt evaluation high complexity patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $586.95 | $100.27 – $812.70 |
| West Kendall Baptist Hospital | MIAMI | $586.95 | $100.27 – $812.70 |
| Adventhealth Daytona Beach | Daytona Beach | $384.35 | $95.26 – $167.35 |
| Adventhealth Lake Wales | Lake Wales | $589.05 | $100.27 – $222.60 |
| Adventhealth Palm Coast Parkway | Palm Coast | $448.92 | not published |
| Adventhealth Tampa | Tampa | $750.11 | $100.27 – $222.60 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $667.18 | $95.26 – $219.04 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,109.00 | $67.58 – $101.38 |