Sm-153 lexidron ther at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$147,404.00
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.
$147,404.00
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.
$5,213.67 with United vs $176,884.80 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 |
|---|---|---|---|
| United | AllPayerAppendix | $5,213.67 | ↓ -96% |
| Optimum | MGMCR | $12,676.74 | ↓ -91% |
| Freedom Health | MGMCR | $12,676.74 | ↓ -91% |
| BCBS | MBN | $14,740.40 | ↓ -90% |
| AvMed | HIX | $17,688.48 | ↓ -88% |
| BCBS | SBN | $18,425.50 | ↓ -88% |
| BCBS | HMO | $18,425.50 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $19,162.52 | ↓ -87% |
| Aetna | QHP | $21,373.58 | ↓ -86% |
| Oscar | HIX | $23,584.64 | ↓ -84% |
| Freedom Health | MGMCD | $23,584.64 | ↓ -84% |
| BCBS | NWB | $24,026.85 | ↓ -84% |
| BCBS | PPO | $24,026.85 | ↓ -84% |
| Aetna | HMO | $24,911.28 | ↓ -83% |
| AmeriHealth Caritas | HIX | $25,058.68 | ↓ -83% |
| Molina | MCR | $28,006.76 | ↓ -81% |
| Aetna | PPO | $28,743.78 | ↓ -81% |
| Humana | HMO | $30,954.84 | ↓ -79% |
| AvMed | FullyInsured | $30,954.84 | ↓ -79% |
| Cigna | PPO | $30,954.84 | ↓ -79% |
| Cigna | HMO | $30,954.84 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $31,397.05 | ↓ -79% |
| AIDS Healthcare | MGMCR | $32,428.88 | ↓ -78% |
| BCBS | BSLNON-PAR | $33,313.30 | ↓ -77% |
| BCBS | PHS | $33,313.30 | ↓ -77% |
| MMM of FL (Health Advantage Plan) | MCR | $33,902.92 | ↓ -77% |
| United PPO | OptionsPPO | $34,934.75 | ↓ -76% |
| AvMed | ASOEO | $35,376.96 | ↓ -76% |
| AvMed | Flex | $38,325.04 | ↓ -74% |
| Sunshine State Health Plan | QHP | $38,325.04 | ↓ -74% |
| AvMed | Select | $38,325.04 | ↓ -74% |
| AvMed | Empower | $38,325.04 | ↓ -74% |
| AvMed | Engage | $38,325.04 | ↓ -74% |
| AvMed | Focus | $38,325.04 | ↓ -74% |
| Molina | HIX | $39,799.08 | ↓ -73% |
| Aetna | ASA | $44,221.20 | ↓ -70% |
| Humana | PPO | $50,117.36 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $66,331.80 | ↓ -55% |
| AvMed | MDCSelectOON | $73,702.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $73,702.00 | ↓ -50% |
| Plotkin Health | COMM | $73,702.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $73,702.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $73,702.00 | ↓ -50% |
| Medica HealthCare | MCR | $86,968.36 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $110,553.00 | ↓ -25% |
| Evernorth BH | COMM | $117,923.20 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $125,293.40 | ↓ -15% |
| AIDS Healthcare | MGMCD | $176,884.80 | ↑ +20% |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $11,993.80 | $3,159.80 – $16,606.80 |
| West Kendall Baptist Hospital | MIAMI | $11,993.80 | $3,155.29 – $16,606.80 |
| cleveland clinic florida weston hospital | Weston | $25,780.30 | $3,159.80 – $33,712.70 |
| Bethesda Hospital East | BOYNTON BEACH | $11,993.80 | $1,601.00 – $16,606.80 |
| Boca Raton Regional Hospital | BOCA RATON | $24,060.40 | $476.00 – $24,171.45 |
| Doctors Hospital | CORAL GABLES | $11,993.80 | $3,159.80 – $16,606.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $11,993.80 | $3,159.80 – $16,606.80 |
| Fishermens Community Hospital | MARATHON | $11,993.80 | $3,081.48 – $16,606.80 |