Torsion straight knee joint 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$137.23 with Humana vs $205.13 with Solis Health Plan — 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 |
|---|---|---|---|
| Humana | TRICR | $137.23 | — |
| HUMANA | MGMCRHMO | $140.06 | — |
| HUMANA | MGMCRPPO | $140.06 | — |
| Devoted Health | MCR | $141.47 | — |
| United Behavioral Health | VACCN | $141.47 | — |
| United | GVT | $141.47 | — |
| Cigna HealthSpring | MGMCR | $141.47 | — |
| CarePlus SFL | MGMCR | $141.47 | — |
| Leon Health | MCR | $141.47 | — |
| NDMS Definitive Care | MGMCR | $141.47 | — |
| Veterans Evaluation Services | MCR | $141.47 | — |
| Wellmed | MGMCR | $141.47 | — |
| Kindred Hospice | FEDERAL | $141.47 | — |
| BCBS | MCRPPO | $144.30 | — |
| BCBS | MCRHMO | $144.30 | — |
| United | MCR | $144.30 | — |
| Aetna | MCR | $145.71 | — |
| Prominence HealthFirst | MCRHMO | $148.54 | — |
| Sunshine State | MCR | $148.54 | — |
| Oscar | MCR | $148.54 | — |
| American Health Plan | MCR | $149.96 | — |
| Align | MCR | $151.37 | — |
| Florida Complete Care | MCR | $151.37 | — |
| AvMed | MCR | $152.79 | — |
| Doctors Healthcare Plan | MCR | $155.62 | — |
| Centurion | GVT | $155.62 | — |
| Sunshine State | MCD | $155.62 | — |
| Gold Kidney | MCR | $158.45 | — |
| AmeriHealth Caritas | MGMCR | $169.76 | — |
| Longevity Health Plan | MCR | $169.76 | — |
| Solis Health Plan | MCR | $205.13 | — |
Visitor-reported prices
Comments
Torsion straight knee joint at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $113.18 – $169.76 |
| cleveland clinic florida weston hospital | Weston | not published | $213.88 – $213.88 |
| martin north hospital | Stuart | not published | $204.36 – $204.36 |
| indian river hospital | Vero Beach | not published | $256.26 – $256.26 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $137.23 – $205.13 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $134.40 – $205.13 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $137.23 – $297.09 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $137.23 – $240.50 |