Appl modality 1/> areas vasopneumatic devices 97016 at HCA FLORIDA TWIN CITIES HOSPITAL
160 Twin Springs Way, DEFUNIAK SPRINGS, FL · HCA Florida Healthcare · · NPI 1891732988
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.
$10.51 with Wellmed vs $15.00 with Careworks (Rockport Community) — 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 |
|---|---|---|---|
| Wellmed | MGMCR | $10.51 | — |
| Humana | MGMCRHMO | $10.51 | — |
| Humana | MGMCRPPO | $10.51 | — |
| NDMS Definitive Care | MGMCR | $10.51 | — |
| Regency Hospice | MCRMCD | $10.51 | — |
| United | VACCN | $10.51 | — |
| BCBS | MCRHMO | $10.72 | — |
| BCBS | MCRPPO | $10.72 | — |
| United | MCR | $10.72 | — |
| WellCare | MCR | $11.03 | — |
| Sunshine State | MCR | $11.03 | — |
| American Health Plan | MCR | $11.14 | — |
| Aetna | MCR | $11.14 | — |
| Florida Complete Care | MCR | $11.24 | — |
| Healthspring of Florida | MGMGR | $11.24 | — |
| Gold Kidney of Florida | MCR | $11.45 | — |
| Centurion | GVT | $11.56 | — |
| Clear Spring Health | MCR | $11.56 | — |
| Humana | TRICARE | $11.58 | — |
| Ultimate Health Plan | MCR | $12.08 | — |
| Longevity Health Plan | MCR | $12.61 | — |
| CorVel Corporation | WORKERSCOMP | $14.25 | — |
| Prime Health | WC | $14.55 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $15.00 | — |
Visitor-reported prices
Comments
Appl modality 1/> areas vasopneumatic devices 97016 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $139.36 | $11.34 – $19.93 |
| Adventhealth Lake Wales | Lake Wales | $167.22 | $11.94 – $26.51 |
| Adventhealth Tampa | Tampa | $155.38 | $11.94 – $26.51 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $132.72 | $11.34 – $26.08 |
| Adventhealth Port Charlotte | Port Charlotte | $333.90 | not published |
| cleveland clinic florida weston hospital | Weston | $165.10 | $10.71 – $215.90 |
| martin north hospital | Stuart | $165.10 | $10.71 – $127.00 |
| indian river hospital | Vero Beach | $165.10 | $14.87 – $203.20 |