Sinus CT scan (without 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.
$245.18 with United vs $13,124.40 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 |
|---|---|---|---|
| United | AllPayerAppendix | $245.18 | — |
| Aetna | QHP | $809.00 | — |
| AvMed | HIX | $845.00 | — |
| Optimum | MGMCR | $940.58 | — |
| Freedom Health | MGMCR | $940.58 | — |
| Aetna | HMO | $1,061.00 | — |
| Simply Healthcare Plans | MGMCR | $1,421.81 | — |
| Aetna | PPO | $1,462.00 | — |
| Freedom Health | MGMCD | $1,749.92 | — |
| Molina | MCR | $2,078.03 | — |
| AvMed | FullyInsured | $2,119.00 | — |
| CorVel Corporation | WORKERSCOMP | $2,163.94 | — |
| CareWorks (Rockport) | WORKERSCOMP | $2,209.50 | — |
| Prime Health | WORKERSCOMP | $2,209.50 | — |
| AvMed | ASOEO | $2,329.00 | — |
| Health Sun Health Plan | MGMCR | $2,329.58 | — |
| AIDS Healthcare | MGMCR | $2,406.14 | — |
| MMM of FL (Health Advantage Plan) | MCR | $2,515.51 | — |
| United PPO | OptionsPPO | $2,592.07 | — |
| AvMed | Select | $2,843.62 | — |
| AvMed | Empower | $2,843.62 | — |
| AvMed | Flex | $2,843.62 | — |
| AvMed | Focus | $2,843.62 | — |
| Sunshine State Health Plan | QHP | $2,843.62 | — |
| AvMed | Engage | $2,843.62 | — |
| Molina | HIX | $2,952.99 | — |
| Aetna | ASA | $3,281.10 | — |
| United | GlobalBenefitPlanAppendix | $4,921.65 | — |
| Plotkin Health | COMM | $5,468.50 | — |
| AvMed | JHSSelectHMO | $5,468.50 | — |
| AvMed | JacksonFirstNetworkOON | $5,468.50 | — |
| AvMed | MDCSelectOON | $5,468.50 | — |
| Prime Health Sherriff | COMM | $5,468.50 | — |
| Medica HealthCare | MCR | $6,452.83 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $8,202.75 | — |
| Evernorth BH | COMM | $8,749.60 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $9,296.45 | — |
| AIDS Healthcare | MGMCD | $13,124.40 | — |
Visitor-reported prices
Comments
Sinus CT scan (without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $3,181.10 | $67.49 – $4,131.90 |
| West Kendall Baptist Hospital | MIAMI | $2,984.15 | $65.42 – $4,131.90 |
| Adventhealth Daytona Beach | Daytona Beach | $2,134.35 | $103.72 – $222.10 |
| Adventhealth Lake Wales | Lake Wales | $7,582.29 | $109.17 – $242.37 |
| Adventhealth Palm Coast Parkway | Palm Coast | $3,161.88 | $103.72 – $301.99 |
| Adventhealth Tampa | Tampa | $6,904.22 | $109.17 – $242.37 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,863.98 | $103.72 – $290.01 |
| Adventhealth Port Charlotte | Port Charlotte | $8,353.42 | $109.17 – $199.35 |