Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan 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.
$11.73 with HUMANA vs $1,162.80 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 |
|---|---|---|---|
| HUMANA | MGMCRPPO | $11.73 | — |
| HUMANA | MGMCRHMO | $11.73 | — |
| Wellmed | MGMCR | $11.85 | — |
| NDMS Definitive Care | MGMCR | $11.85 | — |
| Kindred Hospice | FEDERAL | $11.85 | — |
| Veterans Evaluation Services | MCR | $11.85 | — |
| Devoted Health | MCR | $11.85 | — |
| United Behavioral Health | VACCN | $11.85 | — |
| Leon Health | MCR | $11.85 | — |
| Cigna HealthSpring | MGMCR | $11.85 | — |
| CarePlus SFL | MGMCR | $11.85 | — |
| United | GVT | $11.85 | — |
| BCBS | MCRPPO | $12.08 | — |
| BCBS | MCRHMO | $12.08 | — |
| United | MCR | $12.08 | — |
| Aetna | MCR | $12.20 | — |
| Oscar | MCR | $12.44 | — |
| Prominence HealthFirst | MCRHMO | $12.44 | — |
| Sunshine State | MCR | $12.44 | — |
| Humana | TRICR | $12.55 | — |
| American Health Plan | MCR | $12.56 | — |
| Align | MCR | $12.67 | — |
| Florida Complete Care | MCR | $12.67 | — |
| AvMed | MCR | $12.79 | — |
| Doctors Healthcare Plan | MCR | $13.03 | — |
| Centurion | GVT | $13.03 | — |
| Sunshine State | MCD | $13.03 | — |
| Gold Kidney | MCR | $13.27 | — |
| AmeriHealth Caritas | MGMCR | $14.21 | — |
| Longevity Health Plan | MCR | $14.21 | — |
| CorVel Corporation | WORKERSCOMP | $15.20 | — |
| CareWorks (Rockport) | WORKERSCOMP | $15.52 | — |
| Prime Health | WORKERSCOMP | $15.52 | — |
| Solis Health Plan | MCR | $17.18 | — |
| Freedom Health | MGMCR | $83.33 | — |
| Optimum | MGMCR | $83.33 | — |
| AvMed | HIX | $116.28 | — |
| Simply Healthcare Plans | MGMCR | $125.97 | — |
| Aetna | QHP | $140.50 | — |
| Oscar | HIX | $155.04 | — |
| Freedom Health | MGMCD | $155.04 | — |
| Aetna | HMO | $163.76 | — |
| AmeriHealth Caritas | HIX | $164.73 | — |
| Molina | MCR | $184.11 | — |
| Aetna | PPO | $188.96 | — |
| Cigna | HMO | $203.49 | — |
| Cigna | PPO | $203.49 | — |
| AvMed | FullyInsured | $203.49 | — |
| Humana | HMO | $203.49 | — |
| Health Sun Health Plan | MGMCR | $206.40 | — |
| AIDS Healthcare | MGMCR | $213.18 | — |
| MMM of FL (Health Advantage Plan) | MCR | $222.87 | — |
| United PPO | OptionsPPO | $229.65 | — |
| AvMed | ASOEO | $232.56 | — |
| AvMed | Focus | $251.94 | — |
| AvMed | Engage | $251.94 | — |
| AvMed | Empower | $251.94 | — |
| AvMed | Select | $251.94 | — |
| AvMed | Flex | $251.94 | — |
| Sunshine State Health Plan | QHP | $251.94 | — |
| Molina | HIX | $261.63 | — |
| Aetna | ASA | $290.70 | — |
| Humana | PPO | $329.46 | — |
| United | GlobalBenefitPlanAppendix | $436.05 | — |
| AvMed | JacksonFirstNetworkOON | $484.50 | — |
| AvMed | MDCSelectOON | $484.50 | — |
| Prime Health Sherriff | COMM | $484.50 | — |
| Plotkin Health | COMM | $484.50 | — |
| AvMed | JHSSelectHMO | $484.50 | — |
| Medica HealthCare | MCR | $571.71 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $726.75 | — |
| Evernorth BH | COMM | $775.20 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $823.65 | — |
| AIDS Healthcare | MGMCD | $1,162.80 | — |
Visitor-reported prices
Comments
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $51.35 | $11.26 – $79.00 |
| martin north hospital | Stuart | $117.65 | $10.08 – $90.50 |
| indian river hospital | Vero Beach | $51.35 | $12.05 – $79.00 |
| Boca Raton Regional Hospital | BOCA RATON | $126.10 | $13.04 – $194.00 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $55.50 | $30.18 – $30.18 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $60.00 | $85.00 – $85.00 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $434.90 | $11.07 – $18.82 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $192.00 | $11.07 – $16.05 |