Screening Mammogram at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$548.00
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.
$548.00
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.
$47.13 with Optimum vs $657.60 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 | $47.13 | ↓ -91% |
| Freedom Health | MGMCR | $47.13 | ↓ -91% |
| AvMed | HIX | $65.76 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $71.24 | ↓ -87% |
| Freedom Health | MGMCD | $87.68 | ↓ -84% |
| Humana | TRICR | $89.72 | ↓ -84% |
| HUMANA | MGMCRPPO | $94.47 | ↓ -83% |
| HUMANA | MGMCRHMO | $94.47 | ↓ -83% |
| Veterans Evaluation Services | MCR | $95.42 | ↓ -83% |
| NDMS Definitive Care | MGMCR | $95.42 | ↓ -83% |
| Leon Health | MCR | $95.42 | ↓ -83% |
| Devoted Health | MCR | $95.42 | ↓ -83% |
| CarePlus SFL | MGMCR | $95.42 | ↓ -83% |
| Wellmed | MGMCR | $95.42 | ↓ -83% |
| Kindred Hospice | FEDERAL | $95.42 | ↓ -83% |
| United | GVT | $95.42 | ↓ -83% |
| Cigna HealthSpring | MGMCR | $95.42 | ↓ -83% |
| United Behavioral Health | VACCN | $95.42 | ↓ -83% |
| BCBS | MCRPPO | $97.33 | ↓ -82% |
| BCBS | MCRHMO | $97.33 | ↓ -82% |
| United | MCR | $97.33 | ↓ -82% |
| Aetna | MCR | $98.28 | ↓ -82% |
| Sunshine State | MCR | $100.19 | ↓ -82% |
| Oscar | MCR | $100.19 | ↓ -82% |
| Prominence HealthFirst | MCRHMO | $100.19 | ↓ -82% |
| American Health Plan | MCR | $101.15 | ↓ -82% |
| Florida Complete Care | MCR | $102.10 | ↓ -81% |
| Align | MCR | $102.10 | ↓ -81% |
| AvMed | MCR | $103.05 | ↓ -81% |
| Molina | MCR | $104.12 | ↓ -81% |
| Doctors Healthcare Plan | MCR | $104.96 | ↓ -81% |
| Centurion | GVT | $104.96 | ↓ -81% |
| Sunshine State | MCD | $104.96 | ↓ -81% |
| Gold Kidney | MCR | $106.87 | ↓ -80% |
| AmeriHealth Caritas | MGMCR | $114.50 | ↓ -79% |
| Longevity Health Plan | MCR | $114.50 | ↓ -79% |
| AvMed | FullyInsured | $115.08 | ↓ -79% |
| Humana | HMO | $115.08 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $116.72 | ↓ -79% |
| AIDS Healthcare | MGMCR | $120.56 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $126.04 | ↓ -77% |
| United PPO | OptionsPPO | $129.88 | ↓ -76% |
| AvMed | ASOEO | $131.52 | ↓ -76% |
| Solis Health Plan | MCR | $138.36 | ↓ -75% |
| AvMed | Empower | $142.48 | ↓ -74% |
| AvMed | Select | $142.48 | ↓ -74% |
| AvMed | Focus | $142.48 | ↓ -74% |
| AvMed | Flex | $142.48 | ↓ -74% |
| Sunshine State Health Plan | QHP | $142.48 | ↓ -74% |
| AvMed | Engage | $142.48 | ↓ -74% |
| Molina | HIX | $147.96 | ↓ -73% |
| Aetna | ASA | $164.40 | ↓ -70% |
| Humana | PPO | $186.32 | ↓ -66% |
| United | AllPayerAppendix | $217.46 | ↓ -60% |
| United | GlobalBenefitPlanAppendix | $246.60 | ↓ -55% |
| AvMed | MDCSelectOON | $274.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $274.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $274.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $274.00 | ↓ -50% |
| Plotkin Health | COMM | $274.00 | ↓ -50% |
| Medica HealthCare | MCR | $323.32 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $411.00 | ↓ -25% |
| Evernorth BH | COMM | $438.40 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $465.80 | ↓ -15% |
| AIDS Healthcare | MGMCD | $657.60 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Screening Mammogram at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $475.15 | $14.85 – $657.90 |
| Adventhealth Daytona Beach | Daytona Beach | $496.13 | $82.99 – $168.30 |
| Adventhealth Lake Wales | Lake Wales | $1,448.74 | $87.36 – $213.19 |
| Adventhealth Palm Coast Parkway | Palm Coast | $452.08 | $82.99 – $253.80 |
| Adventhealth Tampa | Tampa | $525.15 | $87.36 – $193.94 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $435.29 | $82.99 – $190.84 |
| Adventhealth Port Charlotte | Port Charlotte | $933.81 | $87.36 – $159.52 |
| cleveland clinic florida weston hospital | Weston | $692.25 | $27.88 – $646.85 |