Transcatheter bx s&i at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$9,973.00
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.
$9,973.00
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.
$688.14 with Aetna vs $11,967.60 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 |
|---|---|---|---|
| Aetna | MCR | $688.14 | ↓ -93% |
| BCBS | MCRHMO | $728.03 | ↓ -93% |
| Optimum | MGMCR | $857.68 | ↓ -91% |
| Freedom Health | MGMCR | $857.68 | ↓ -91% |
| AvMed | HIX | $1,196.76 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $1,296.49 | ↓ -87% |
| Freedom Health | MGMCD | $1,595.68 | ↓ -84% |
| Molina | MCR | $1,894.87 | ↓ -81% |
| Humana | HMO | $2,094.33 | ↓ -79% |
| AvMed | FullyInsured | $2,094.33 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $2,124.25 | ↓ -79% |
| AIDS Healthcare | MGMCR | $2,194.06 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $2,293.79 | ↓ -77% |
| United PPO | OptionsPPO | $2,363.60 | ↓ -76% |
| AvMed | ASOEO | $2,393.52 | ↓ -76% |
| CorVel Corporation | WORKERSCOMP | $2,433.00 | ↓ -76% |
| Prime Health | WORKERSCOMP | $2,484.22 | ↓ -75% |
| CareWorks (Rockport) | WORKERSCOMP | $2,484.22 | ↓ -75% |
| AvMed | Empower | $2,592.98 | ↓ -74% |
| Sunshine State Health Plan | QHP | $2,592.98 | ↓ -74% |
| AvMed | Select | $2,592.98 | ↓ -74% |
| AvMed | Engage | $2,592.98 | ↓ -74% |
| AvMed | Flex | $2,592.98 | ↓ -74% |
| AvMed | Focus | $2,592.98 | ↓ -74% |
| Molina | HIX | $2,692.71 | ↓ -73% |
| Aetna | ASA | $2,991.90 | ↓ -70% |
| Humana | PPO | $3,390.82 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $4,487.85 | ↓ -55% |
| Plotkin Health | COMM | $4,986.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $4,986.50 | ↓ -50% |
| AvMed | MDCSelectOON | $4,986.50 | ↓ -50% |
| AvMed | JHSSelectHMO | $4,986.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $4,986.50 | ↓ -50% |
| Medica HealthCare | MCR | $5,884.07 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $7,479.75 | ↓ -25% |
| Evernorth BH | COMM | $7,978.40 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $8,477.05 | ↓ -15% |
| AIDS Healthcare | MGMCD | $11,967.60 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Transcatheter bx s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $9,384.05 | $129.63 – $12,993.30 |
| West Kendall Baptist Hospital | MIAMI | $9,384.05 | $125.66 – $12,993.30 |
| Adventhealth Daytona Beach | Daytona Beach | $1,684.85 | not published |
| Adventhealth Tampa | Tampa | $3,687.89 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $5,664.00 | $2,231.43 – $2,278.40 |
| Adventhealth Port Charlotte | Port Charlotte | $4,736.24 | not published |
| cleveland clinic florida weston hospital | Weston | $3,198.00 | $35.37 – $3,899.80 |
| martin north hospital | Stuart | $2,982.20 | $31.65 – $2,294.00 |