Ustekinumab 130 mg/26 ml intravenous solution at HCA FLORIDA MERCY HOSPITAL
3663 South Miami Ave, MIAMI, FL · HCA Florida Healthcare · · NPI 1023387479
$17,000.00
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.
$17,000.00
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.
$12.43 with Humana vs $20,400.00 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 |
|---|---|---|---|
| Humana | TRICR | $12.43 | ↓ -100% |
| United | AllPayerAppendix | $20.61 | ↓ -100% |
| Freedom Health | MGMCR | $1,462.00 | ↓ -91% |
| Optimum | MGMCR | $1,462.00 | ↓ -91% |
| BCBS | MBN | $1,700.00 | ↓ -90% |
| BCBS | SBN | $2,125.00 | ↓ -88% |
| BCBS | HMO | $2,125.00 | ↓ -88% |
| Simply Healthcare Plans | MGMCR | $2,210.00 | ↓ -87% |
| Freedom Health | MGMCD | $2,720.00 | ↓ -84% |
| BCBS | NWB | $2,771.00 | ↓ -84% |
| BCBS | PPO | $2,771.00 | ↓ -84% |
| BCBS | BSLNON-PAR | $3,842.00 | ↓ -77% |
| BCBS | PHS | $3,842.00 | ↓ -77% |
| MMM of FL (Health Advantage Plan) | MCR | $3,910.00 | ↓ -77% |
| United PPO | OptionsPPO | $4,029.00 | ↓ -76% |
| AvMed | Empower | $4,420.00 | ↓ -74% |
| AvMed | Select | $4,420.00 | ↓ -74% |
| AvMed | Focus | $4,420.00 | ↓ -74% |
| AvMed | Flex | $4,420.00 | ↓ -74% |
| AvMed | Engage | $4,420.00 | ↓ -74% |
| Aetna | ASA | $5,100.00 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $7,650.00 | ↓ -55% |
| AvMed | MDCSelectOON | $8,500.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $8,500.00 | ↓ -50% |
| Plotkin Health | COMM | $8,500.00 | ↓ -50% |
| AvMed | JHSSelectHMO | $8,500.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $8,500.00 | ↓ -50% |
| Medica HealthCare | MCR | $10,030.00 | ↓ -41% |
| Multiplan | COMMPPOPRIMARYNETWORK | $12,750.00 | ↓ -25% |
| Evernorth BH | COMM | $13,600.00 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $14,450.00 | ↓ -15% |
| AIDS Healthcare | MGMCD | $20,400.00 | ↑ +20% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Ustekinumab 130 mg/26 ml intravenous solution at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $155.35 | $12.99 – $2,862.15 |
| West Kendall Baptist Hospital | MIAMI | $155.35 | $12.99 – $2,853.82 |
| Adventhealth Daytona Beach | Daytona Beach | $20,923.82 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $43,728.24 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $38,518.71 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $6,174.00 | $12.81 – $20.61 |
| cleveland clinic florida weston hospital | Weston | $190.77 | $11.24 – $2,697.27 |
| martin north hospital | Stuart | $190.77 | $12.49 – $3,236.72 |