Tomosynthesis breast diagnostic left at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$203.00
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.
$203.00
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.
$13.08 with HUMANA vs $243.60 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 | MGMCRPPO | $13.08 | ↓ -94% |
| HUMANA | MGMCRHMO | $13.08 | ↓ -94% |
| Wellmed | MGMCR | $13.21 | ↓ -93% |
| Cigna HealthSpring | MGMCR | $13.21 | ↓ -93% |
| United | GVT | $13.21 | ↓ -93% |
| Veterans Evaluation Services | MCR | $13.21 | ↓ -93% |
| CarePlus SFL | MGMCR | $13.21 | ↓ -93% |
| Devoted Health | MCR | $13.21 | ↓ -93% |
| United Behavioral Health | VACCN | $13.21 | ↓ -93% |
| NDMS Definitive Care | MGMCR | $13.21 | ↓ -93% |
| Leon Health | MCR | $13.21 | ↓ -93% |
| Kindred Hospice | FEDERAL | $13.21 | ↓ -93% |
| BCBS | MCRHMO | $13.47 | ↓ -93% |
| United | MCR | $13.47 | ↓ -93% |
| BCBS | MCRPPO | $13.47 | ↓ -93% |
| Aetna | MCR | $13.61 | ↓ -93% |
| Prominence HealthFirst | MCRHMO | $13.87 | ↓ -93% |
| Oscar | MCR | $13.87 | ↓ -93% |
| Sunshine State | MCR | $13.87 | ↓ -93% |
| American Health Plan | MCR | $14.00 | ↓ -93% |
| Align | MCR | $14.13 | ↓ -93% |
| Florida Complete Care | MCR | $14.13 | ↓ -93% |
| AvMed | MCR | $14.27 | ↓ -93% |
| Centurion | GVT | $14.53 | ↓ -93% |
| Doctors Healthcare Plan | MCR | $14.53 | ↓ -93% |
| Sunshine State | MCD | $14.53 | ↓ -93% |
| Gold Kidney | MCR | $14.80 | ↓ -93% |
| Humana | TRICR | $15.15 | ↓ -93% |
| AmeriHealth Caritas | MGMCR | $15.85 | ↓ -92% |
| Longevity Health Plan | MCR | $15.85 | ↓ -92% |
| Freedom Health | MGMCR | $17.46 | ↓ -91% |
| Optimum | MGMCR | $17.46 | ↓ -91% |
| Solis Health Plan | MCR | $19.15 | ↓ -91% |
| AvMed | HIX | $24.36 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $26.39 | ↓ -87% |
| Aetna | QHP | $29.43 | ↓ -86% |
| Freedom Health | MGMCD | $32.48 | ↓ -84% |
| Aetna | HMO | $34.31 | ↓ -83% |
| Molina | MCR | $38.57 | ↓ -81% |
| Aetna | PPO | $39.59 | ↓ -80% |
| AvMed | FullyInsured | $42.63 | ↓ -79% |
| Humana | HMO | $42.63 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $43.24 | ↓ -79% |
| AIDS Healthcare | MGMCR | $44.66 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $46.69 | ↓ -77% |
| United PPO | OptionsPPO | $48.11 | ↓ -76% |
| AvMed | ASOEO | $48.72 | ↓ -76% |
| AvMed | Flex | $52.78 | ↓ -74% |
| AvMed | Engage | $52.78 | ↓ -74% |
| AvMed | Empower | $52.78 | ↓ -74% |
| Sunshine State Health Plan | QHP | $52.78 | ↓ -74% |
| AvMed | Focus | $52.78 | ↓ -74% |
| AvMed | Select | $52.78 | ↓ -74% |
| Molina | HIX | $54.81 | ↓ -73% |
| United | AllPayerAppendix | $57.31 | ↓ -72% |
| Aetna | ASA | $60.90 | ↓ -70% |
| Humana | PPO | $69.02 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $91.35 | ↓ -55% |
| Prime Health Sherriff | COMM | $101.50 | ↓ -50% |
| Plotkin Health | COMM | $101.50 | ↓ -50% |
| AvMed | MDCSelectOON | $101.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $101.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $101.50 | ↓ -50% |
| Medica HealthCare | MCR | $119.77 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $152.25 | ↓ -25% |
| Evernorth BH | COMM | $162.40 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $172.55 | ↓ -15% |
| AIDS Healthcare | MGMCD | $243.60 | ↑ +20% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $457.00 | $9.70 – $14.56 |
| Adventhealth Port Charlotte | Port Charlotte | $244.86 | $12.86 – $23.48 |
| cleveland clinic florida weston hospital | Weston | $242.45 | $12.92 – $109.00 |
| martin north hospital | Stuart | $171.60 | $21.05 – $264.00 |
| indian river hospital | Vero Beach | $171.60 | $8.25 – $264.00 |
| Boca Raton Regional Hospital | BOCA RATON | $145.60 | $12.86 – $146.27 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $113.00 | $12.22 – $18.65 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $78.80 | $42.73 – $42.73 |