Surgical pathology level 4 gross & microscopic examination 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.
?
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.
?
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
?
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 →
?
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% |
| United | AllPayerAppendix | $49.76 | ↓ -91% |
| AvMed | HIX | $65.76 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $71.24 | ↓ -87% |
| Oscar | HIX | $87.68 | ↓ -84% |
| Freedom Health | MGMCD | $87.68 | ↓ -84% |
| AmeriHealth Caritas | HIX | $93.16 | ↓ -83% |
| Molina | MCR | $104.12 | ↓ -81% |
| 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% |
| AvMed | Select | $142.48 | ↓ -74% |
| AvMed | Focus | $142.48 | ↓ -74% |
| AvMed | Flex | $142.48 | ↓ -74% |
| AvMed | Engage | $142.48 | ↓ -74% |
| AvMed | Empower | $142.48 | ↓ -74% |
| Sunshine State Health Plan | QHP | $142.48 | ↓ -74% |
| Molina | HIX | $147.96 | ↓ -73% |
| Aetna | ASA | $164.40 | ↓ -70% |
| Humana | PPO | $186.32 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $246.60 | ↓ -55% |
| Plotkin Health | COMM | $274.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $274.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $274.00 | ↓ -50% |
| AvMed | MDCSelectOON | $274.00 | ↓ -50% |
| Prime Health Sherriff | 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% |
| CorVel Corporation | WORKERSCOMP | $507.75 | ↓ -7% |
| Prime Health | WORKERSCOMP | $518.44 | ↓ -5% |
| CareWorks (Rockport) | WORKERSCOMP | $518.44 | ↓ -5% |
| AIDS Healthcare | MGMCD | $657.60 | ↑ +20% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $560.30 | $15.22 – $79.20 |
| West Kendall Baptist Hospital | MIAMI | $560.30 | $15.05 – $79.20 |
| Adventhealth Daytona Beach | Daytona Beach | $557.21 | $51.70 – $90.82 |
| Adventhealth Lake Wales | Lake Wales | $157.26 | $54.42 – $120.81 |
| Adventhealth Palm Coast Parkway | Palm Coast | $405.00 | $51.70 – $116.23 |
| Adventhealth Tampa | Tampa | $1,206.51 | $54.42 – $120.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $463.46 | $51.70 – $118.88 |
| Adventhealth Port Charlotte | Port Charlotte | $405.00 | $54.42 – $99.37 |