Cholesterol at HCA FLORIDA TWIN CITIES HOSPITAL
160 Twin Springs Way, DEFUNIAK SPRINGS, FL · HCA Florida Healthcare · · NPI 1891732988
$312.00
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.
$312.00
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.
$3.94 with Humana vs $280.80 with NovaNet — 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 |
|---|---|---|---|
| Humana | TRICARE | $3.94 | ↓ -99% |
| Humana | MGMCRHMO | $4.35 | ↓ -99% |
| Wellmed | MGMCR | $4.35 | ↓ -99% |
| United | VACCN | $4.35 | ↓ -99% |
| Regency Hospice | MCRMCD | $4.35 | ↓ -99% |
| NDMS Definitive Care | MGMCR | $4.35 | ↓ -99% |
| United | AllPayerAppendix | $4.35 | ↓ -99% |
| Humana | MGMCRPPO | $4.35 | ↓ -99% |
| United | MCR | $4.44 | ↓ -99% |
| BCBS | MCRHMO | $4.44 | ↓ -99% |
| BCBS | MCRPPO | $4.44 | ↓ -99% |
| WellCare | MCR | $4.57 | ↓ -99% |
| Sunshine State | MCR | $4.57 | ↓ -99% |
| American Health Plan | MCR | $4.61 | ↓ -99% |
| Aetna | MCR | $4.61 | ↓ -99% |
| Healthspring of Florida | MGMGR | $4.65 | ↓ -99% |
| Florida Complete Care | MCR | $4.65 | ↓ -99% |
| Gold Kidney of Florida | MCR | $4.74 | ↓ -98% |
| Clear Spring Health | MCR | $4.79 | ↓ -98% |
| Centurion | GVT | $4.79 | ↓ -98% |
| Ultimate Health Plan | MCR | $5.00 | ↓ -98% |
| Longevity Health Plan | MCR | $5.22 | ↓ -98% |
| Oscar | HIX | $5.87 | ↓ -98% |
| Simply Healthcare | HIX | $6.79 | ↓ -98% |
| CorVel Corporation | WORKERSCOMP | $22.32 | ↓ -93% |
| Prime Health | WC | $22.79 | ↓ -93% |
| Careworks (Rockport Community) | WORKERSCOMP | $23.50 | ↓ -92% |
| Simply | MGMCR | $48.05 | ↓ -85% |
| Molina Healthcare | MGMCR | $59.28 | ↓ -81% |
| United | OptionsPPO | $74.57 | ↓ -76% |
| AvMed | HMOFI | $78.00 | ↓ -75% |
| Sunshine State Health Plan | QHP | $79.56 | ↓ -75% |
| AvMed | ASOEO | $93.60 | ↓ -70% |
| Aetna | ASA | $93.60 | ↓ -70% |
| Molina Healthcare | HIX | $99.84 | ↓ -68% |
| United | GlobalBenefitPlan | $140.40 | ↓ -55% |
| Plotkin Health | COMM | $156.00 | ↓ -50% |
| AvMed | HIXOON | $156.00 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $156.00 | ↓ -50% |
| Prime Health Sheriff | COMM | $156.00 | ↓ -50% |
| Evolutions Healthcare | MANAGEDCAREPPO | $202.80 | ↓ -35% |
| Multiplan | Primary | $243.36 | ↓ -22% |
| Multiplan | Complementary | $265.20 | ↓ -15% |
| PPO Next | COMM | $265.20 | ↓ -15% |
| PPO Next | PPO | $265.20 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $265.20 | ↓ -15% |
| NovaNet | COMM | $280.80 | ↓ -10% |
Visitor-reported prices
Comments
Cholesterol at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $68.57 | $4.13 – $7.26 |
| Adventhealth Lake Wales | Lake Wales | $238.76 | $4.35 – $9.66 |
| Adventhealth Palm Coast Parkway | Palm Coast | $68.57 | $4.13 – $9.29 |
| Adventhealth Tampa | Tampa | $325.46 | $4.35 – $9.66 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $58.77 | $4.13 – $9.50 |
| Adventhealth Port Charlotte | Port Charlotte | $32.01 | $4.35 – $7.94 |
| cleveland clinic florida weston hospital | Weston | $70.85 | $1.83 – $13.00 |
| martin north hospital | Stuart | $70.85 | $1.83 – $52.00 |