Tomosynthesis breast screen bilateral at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$131.00
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.
$131.00
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.
$11.27 with Freedom Health vs $157.20 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $11.27 | ↓ -91% |
| Optimum | MGMCR | $11.27 | ↓ -91% |
| AvMed | HIX | $15.72 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $17.03 | ↓ -87% |
| Freedom Health | MGMCD | $20.96 | ↓ -84% |
| Humana | TRICR | $23.20 | ↓ -82% |
| HUMANA | MGMCRPPO | $24.10 | ↓ -82% |
| HUMANA | MGMCRHMO | $24.10 | ↓ -82% |
| NDMS Definitive Care | MGMCR | $24.34 | ↓ -81% |
| Kindred Hospice | FEDERAL | $24.34 | ↓ -81% |
| Wellmed | MGMCR | $24.34 | ↓ -81% |
| Veterans Evaluation Services | MCR | $24.34 | ↓ -81% |
| United Behavioral Health | VACCN | $24.34 | ↓ -81% |
| Cigna HealthSpring | MGMCR | $24.34 | ↓ -81% |
| Leon Health | MCR | $24.34 | ↓ -81% |
| Devoted Health | MCR | $24.34 | ↓ -81% |
| CarePlus SFL | MGMCR | $24.34 | ↓ -81% |
| United | GVT | $24.34 | ↓ -81% |
| BCBS | MCRPPO | $24.83 | ↓ -81% |
| BCBS | MCRHMO | $24.83 | ↓ -81% |
| United | MCR | $24.83 | ↓ -81% |
| Molina | MCR | $24.89 | ↓ -81% |
| Aetna | MCR | $25.07 | ↓ -81% |
| Sunshine State | MCR | $25.56 | ↓ -80% |
| Prominence HealthFirst | MCRHMO | $25.56 | ↓ -80% |
| Oscar | MCR | $25.56 | ↓ -80% |
| American Health Plan | MCR | $25.80 | ↓ -80% |
| Florida Complete Care | MCR | $26.04 | ↓ -80% |
| Align | MCR | $26.04 | ↓ -80% |
| AvMed | MCR | $26.29 | ↓ -80% |
| Doctors Healthcare Plan | MCR | $26.77 | ↓ -80% |
| Centurion | GVT | $26.77 | ↓ -80% |
| Sunshine State | MCD | $26.77 | ↓ -80% |
| Gold Kidney | MCR | $27.26 | ↓ -79% |
| AvMed | FullyInsured | $27.51 | ↓ -79% |
| Humana | HMO | $27.51 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $27.90 | ↓ -79% |
| AIDS Healthcare | MGMCR | $28.82 | ↓ -78% |
| Longevity Health Plan | MCR | $29.21 | ↓ -78% |
| AmeriHealth Caritas | MGMCR | $29.21 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $30.13 | ↓ -77% |
| United PPO | OptionsPPO | $31.05 | ↓ -76% |
| AvMed | ASOEO | $31.44 | ↓ -76% |
| AvMed | Focus | $34.06 | ↓ -74% |
| AvMed | Empower | $34.06 | ↓ -74% |
| AvMed | Engage | $34.06 | ↓ -74% |
| AvMed | Flex | $34.06 | ↓ -74% |
| Sunshine State Health Plan | QHP | $34.06 | ↓ -74% |
| AvMed | Select | $34.06 | ↓ -74% |
| Solis Health Plan | MCR | $35.29 | ↓ -73% |
| Molina | HIX | $35.37 | ↓ -73% |
| Aetna | ASA | $39.30 | ↓ -70% |
| Humana | PPO | $44.54 | ↓ -66% |
| United | AllPayerAppendix | $57.31 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $58.95 | ↓ -55% |
| AvMed | MDCSelectOON | $65.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $65.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $65.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $65.50 | ↓ -50% |
| Plotkin Health | COMM | $65.50 | ↓ -50% |
| Medica HealthCare | MCR | $77.29 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $98.25 | ↓ -25% |
| Evernorth BH | COMM | $104.80 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $111.35 | ↓ -15% |
| AIDS Healthcare | MGMCD | $157.20 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $162.50 | $14.85 – $225.00 |
| Adventhealth Daytona Beach | Daytona Beach | $103.18 | $22.50 – $39.52 |
| Adventhealth Lake Wales | Lake Wales | $316.07 | $23.68 – $53.68 |
| Adventhealth Palm Coast Parkway | Palm Coast | $103.18 | $22.50 – $63.90 |
| Adventhealth Tampa | Tampa | $218.99 | $23.68 – $52.57 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $113.01 | $22.50 – $51.73 |
| Adventhealth Port Charlotte | Port Charlotte | $281.60 | $23.68 – $43.24 |
| cleveland clinic florida weston hospital | Weston | $269.75 | $23.24 – $175.00 |