X-ray exam of sinuses 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$59.68 with Optimum vs $832.80 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 |
|---|---|---|---|
| Optimum | MGMCR | $59.68 | — |
| Freedom Health | MGMCR | $59.68 | — |
| AvMed | HIX | $83.28 | — |
| Simply Healthcare Plans | MGMCR | $90.22 | — |
| Freedom Health | MGMCD | $111.04 | — |
| Molina | MCR | $131.86 | — |
| AvMed | FullyInsured | $145.74 | — |
| Humana | HMO | $145.74 | — |
| Health Sun Health Plan | MGMCR | $147.82 | — |
| AIDS Healthcare | MGMCR | $152.68 | — |
| MMM of FL (Health Advantage Plan) | MCR | $159.62 | — |
| United PPO | OptionsPPO | $164.48 | — |
| AvMed | ASOEO | $166.56 | — |
| AvMed | Focus | $180.44 | — |
| AvMed | Empower | $180.44 | — |
| AvMed | Flex | $180.44 | — |
| Sunshine State Health Plan | QHP | $180.44 | — |
| AvMed | Engage | $180.44 | — |
| AvMed | Select | $180.44 | — |
| United | AllPayerAppendix | $182.03 | — |
| Molina | HIX | $187.38 | — |
| Aetna | ASA | $208.20 | — |
| Humana | PPO | $235.96 | — |
| United | GlobalBenefitPlanAppendix | $312.30 | — |
| AvMed | JHSSelectHMO | $347.00 | — |
| Plotkin Health | COMM | $347.00 | — |
| Prime Health Sherriff | COMM | $347.00 | — |
| AvMed | MDCSelectOON | $347.00 | — |
| AvMed | JacksonFirstNetworkOON | $347.00 | — |
| Medica HealthCare | MCR | $409.46 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $520.50 | — |
| Evernorth BH | COMM | $555.20 | — |
| CorVel Corporation | WORKERSCOMP | $583.12 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $589.90 | — |
| CareWorks (Rockport) | WORKERSCOMP | $595.40 | — |
| Prime Health | WORKERSCOMP | $595.40 | — |
| AIDS Healthcare | MGMCD | $832.80 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of sinuses at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $521.95 | $35.25 – $515.70 |
| West Kendall Baptist Hospital | MIAMI | $372.45 | $34.17 – $515.70 |
| Adventhealth Daytona Beach | Daytona Beach | $387.60 | $86.33 – $151.68 |
| Adventhealth Lake Wales | Lake Wales | $830.26 | $77.67 – $201.75 |
| Adventhealth Palm Coast Parkway | Palm Coast | $681.59 | $85.22 – $194.11 |
| Adventhealth Tampa | Tampa | $1,056.67 | $76.59 – $201.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $558.28 | $86.33 – $198.52 |
| Adventhealth Port Charlotte | Port Charlotte | $907.10 | $80.04 – $165.94 |