Smear gram stain 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.
$4.23 with HUMANA vs $3,781.20 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 | MGMCRHMO | $4.23 | — |
| HUMANA | MGMCRPPO | $4.23 | — |
| Humana | TRICR | $4.25 | — |
| Wellmed | MGMCR | $4.27 | — |
| CarePlus SFL | MGMCR | $4.27 | — |
| Veterans Evaluation Services | MCR | $4.27 | — |
| Cigna HealthSpring | MGMCR | $4.27 | — |
| NDMS Definitive Care | MGMCR | $4.27 | — |
| United | AllPayerAppendix | $4.27 | — |
| Kindred Hospice | FEDERAL | $4.27 | — |
| United | GVT | $4.27 | — |
| Leon Health | MCR | $4.27 | — |
| United Behavioral Health | VACCN | $4.27 | — |
| Devoted Health | MCR | $4.27 | — |
| United | MCR | $4.36 | — |
| BCBS | MCRPPO | $4.36 | — |
| BCBS | MCRHMO | $4.36 | — |
| Aetna | MCR | $4.40 | — |
| Sunshine State | MCR | $4.48 | — |
| Prominence HealthFirst | MCRHMO | $4.48 | — |
| Oscar | MCR | $4.48 | — |
| American Health Plan | MCR | $4.53 | — |
| Florida Complete Care | MCR | $4.57 | — |
| Align | MCR | $4.57 | — |
| AvMed | MCR | $4.61 | — |
| Sunshine State | MCD | $4.70 | — |
| Centurion | GVT | $4.70 | — |
| Doctors Healthcare Plan | MCR | $4.70 | — |
| Gold Kidney | MCR | $4.78 | — |
| AmeriHealth Caritas | MGMCR | $5.12 | — |
| Longevity Health Plan | MCR | $5.12 | — |
| Oscar | HIX | $6.02 | — |
| Solis Health Plan | MCR | $6.19 | — |
| AmeriHealth Caritas | HIX | $6.40 | — |
| CorVel Corporation | WORKERSCOMP | $97.37 | — |
| Prime Health | WORKERSCOMP | $99.42 | — |
| CareWorks (Rockport) | WORKERSCOMP | $99.42 | — |
| Optimum | MGMCR | $270.99 | — |
| Freedom Health | MGMCR | $270.99 | — |
| AvMed | HIX | $378.12 | — |
| Simply Healthcare Plans | MGMCR | $409.63 | — |
| Freedom Health | MGMCD | $504.16 | — |
| Molina | MCR | $598.69 | — |
| AvMed | FullyInsured | $661.71 | — |
| Humana | HMO | $661.71 | — |
| Health Sun Health Plan | MGMCR | $671.16 | — |
| AIDS Healthcare | MGMCR | $693.22 | — |
| MMM of FL (Health Advantage Plan) | MCR | $724.73 | — |
| United PPO | OptionsPPO | $746.79 | — |
| AvMed | ASOEO | $756.24 | — |
| AvMed | Select | $819.26 | — |
| AvMed | Focus | $819.26 | — |
| AvMed | Empower | $819.26 | — |
| AvMed | Engage | $819.26 | — |
| Sunshine State Health Plan | QHP | $819.26 | — |
| AvMed | Flex | $819.26 | — |
| Molina | HIX | $850.77 | — |
| Aetna | ASA | $945.30 | — |
| Humana | PPO | $1,071.34 | — |
| United | GlobalBenefitPlanAppendix | $1,417.95 | — |
| AvMed | JacksonFirstNetworkOON | $1,575.50 | — |
| AvMed | MDCSelectOON | $1,575.50 | — |
| Plotkin Health | COMM | $1,575.50 | — |
| Prime Health Sherriff | COMM | $1,575.50 | — |
| AvMed | JHSSelectHMO | $1,575.50 | — |
| Medica HealthCare | MCR | $1,859.09 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $2,363.25 | — |
| Evernorth BH | COMM | $2,520.80 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $2,678.35 | — |
| AIDS Healthcare | MGMCD | $3,781.20 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Smear gram stain at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $160.55 | $3.24 – $161.10 |
| West Kendall Baptist Hospital | MIAMI | $160.55 | $4.27 – $170.10 |
| Adventhealth Daytona Beach | Daytona Beach | $135.31 | $4.06 – $7.13 |
| Adventhealth Lake Wales | Lake Wales | $354.83 | $4.27 – $9.48 |
| Adventhealth Palm Coast Parkway | Palm Coast | $132.83 | $4.06 – $9.12 |
| Adventhealth Tampa | Tampa | $180.77 | $4.27 – $9.48 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $107.32 | $4.06 – $9.33 |
| Adventhealth Port Charlotte | Port Charlotte | $32.01 | $4.27 – $7.80 |