Sinus CT scan (with contrast) 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.
$401.74 with United vs $17,454.00 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 |
|---|---|---|---|
| United | AllPayerAppendix | $401.74 | — |
| Aetna | QHP | $809.00 | — |
| AvMed | HIX | $845.00 | — |
| Aetna | HMO | $1,061.00 | — |
| Freedom Health | MGMCR | $1,250.87 | — |
| Optimum | MGMCR | $1,250.87 | — |
| Aetna | PPO | $1,462.00 | — |
| Simply Healthcare Plans | MGMCR | $1,890.85 | — |
| AvMed | FullyInsured | $2,119.00 | — |
| Freedom Health | MGMCD | $2,327.20 | — |
| AvMed | ASOEO | $2,329.00 | — |
| Molina | MCR | $2,763.55 | — |
| Health Sun Health Plan | MGMCR | $3,098.09 | — |
| AIDS Healthcare | MGMCR | $3,199.90 | — |
| MMM of FL (Health Advantage Plan) | MCR | $3,345.35 | — |
| United PPO | OptionsPPO | $3,447.16 | — |
| CorVel Corporation | WORKERSCOMP | $3,463.15 | — |
| Prime Health | WORKERSCOMP | $3,536.06 | — |
| CareWorks (Rockport) | WORKERSCOMP | $3,536.06 | — |
| Sunshine State Health Plan | QHP | $3,781.70 | — |
| AvMed | Select | $3,781.70 | — |
| AvMed | Engage | $3,781.70 | — |
| AvMed | Flex | $3,781.70 | — |
| AvMed | Focus | $3,781.70 | — |
| AvMed | Empower | $3,781.70 | — |
| Molina | HIX | $3,927.15 | — |
| Aetna | ASA | $4,363.50 | — |
| United | GlobalBenefitPlanAppendix | $6,545.25 | — |
| Plotkin Health | COMM | $7,272.50 | — |
| AvMed | JHSSelectHMO | $7,272.50 | — |
| AvMed | JacksonFirstNetworkOON | $7,272.50 | — |
| AvMed | MDCSelectOON | $7,272.50 | — |
| Prime Health Sherriff | COMM | $7,272.50 | — |
| Medica HealthCare | MCR | $8,581.55 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $10,908.75 | — |
| Evernorth BH | COMM | $11,636.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $12,363.25 | — |
| AIDS Healthcare | MGMCD | $17,454.00 | — |
Visitor-reported prices
Comments
Sinus CT scan (with contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $3,753.75 | $173.17 – $4,876.20 |
| West Kendall Baptist Hospital | MIAMI | $3,521.70 | $183.17 – $4,876.20 |
| Adventhealth Daytona Beach | Daytona Beach | $2,222.93 | $174.01 – $437.27 |
| Adventhealth Lake Wales | Lake Wales | $8,427.48 | $183.17 – $530.75 |
| Adventhealth Palm Coast Parkway | Palm Coast | $3,666.03 | $174.01 – $631.85 |
| Adventhealth Tampa | Tampa | $8,411.53 | $183.17 – $429.66 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $3,807.41 | $174.01 – $570.98 |
| Adventhealth Port Charlotte | Port Charlotte | $9,108.01 | $183.17 – $347.52 |