Culture typing added method at HCA FLORIDA TWIN CITIES HOSPITAL
160 Twin Springs Way, DEFUNIAK SPRINGS, FL · HCA Florida Healthcare · · NPI 1891732988
$27.00
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.
$27.00
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.
$4.16 with Simply vs $107.28 with Careworks (Rockport Community) — 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 |
|---|---|---|---|
| Simply | MGMCR | $4.16 | ↓ -85% |
| Molina Healthcare | MGMCR | $5.13 | ↓ -81% |
| United | OptionsPPO | $6.45 | ↓ -76% |
| AvMed | HMOFI | $6.75 | ↓ -75% |
| Sunshine State Health Plan | QHP | $6.88 | ↓ -75% |
| Humana | TRICARE | $7.01 | ↓ -74% |
| Regency Hospice | MCRMCD | $7.74 | ↓ -71% |
| Wellmed | MGMCR | $7.74 | ↓ -71% |
| United | VACCN | $7.74 | ↓ -71% |
| Humana | MGMCRHMO | $7.74 | ↓ -71% |
| Humana | MGMCRPPO | $7.74 | ↓ -71% |
| United | AllPayerAppendix | $7.74 | ↓ -71% |
| NDMS Definitive Care | MGMCR | $7.74 | ↓ -71% |
| United | MCR | $7.89 | ↓ -71% |
| BCBS | MCRHMO | $7.89 | ↓ -71% |
| BCBS | MCRPPO | $7.89 | ↓ -71% |
| AvMed | ASOEO | $8.10 | ↓ -70% |
| Aetna | ASA | $8.10 | ↓ -70% |
| WellCare | MCR | $8.13 | ↓ -70% |
| Sunshine State | MCR | $8.13 | ↓ -70% |
| American Health Plan | MCR | $8.20 | ↓ -70% |
| Aetna | MCR | $8.20 | ↓ -70% |
| Healthspring of Florida | MGMGR | $8.28 | ↓ -69% |
| Florida Complete Care | MCR | $8.28 | ↓ -69% |
| Gold Kidney of Florida | MCR | $8.44 | ↓ -69% |
| Centurion | GVT | $8.51 | ↓ -68% |
| Clear Spring Health | MCR | $8.51 | ↓ -68% |
| Molina Healthcare | HIX | $8.64 | ↓ -68% |
| Ultimate Health Plan | MCR | $8.90 | ↓ -67% |
| Longevity Health Plan | MCR | $9.29 | ↓ -66% |
| Oscar | HIX | $10.45 | ↓ -61% |
| Simply Healthcare | HIX | $12.07 | ↓ -55% |
| United | GlobalBenefitPlan | $12.15 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $13.50 | ↓ -50% |
| Prime Health Sheriff | COMM | $13.50 | ↓ -50% |
| Plotkin Health | COMM | $13.50 | ↓ -50% |
| AvMed | HIXOON | $13.50 | ↓ -50% |
| Evolutions Healthcare | MANAGEDCAREPPO | $17.55 | ↓ -35% |
| Multiplan | Primary | $21.06 | ↓ -22% |
| PPO Next | COMM | $22.95 | ↓ -15% |
| Multiplan | Complementary | $22.95 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $22.95 | ↓ -15% |
| PPO Next | PPO | $22.95 | ↓ -15% |
| NovaNet | COMM | $24.30 | ↓ -10% |
| CorVel Corporation | WORKERSCOMP | $101.92 | ↑ +277% |
| Prime Health | WC | $104.06 | ↑ +285% |
| Careworks (Rockport Community) | WORKERSCOMP | $107.28 | ↑ +297% |
Visitor-reported prices
Comments
Culture typing added method at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $26.88 | $7.35 – $12.92 |
| Adventhealth Lake Wales | Lake Wales | $26.88 | $7.74 – $17.18 |
| Adventhealth Palm Coast Parkway | Palm Coast | $26.88 | $7.35 – $16.53 |
| Adventhealth Tampa | Tampa | $119.47 | $7.74 – $17.18 |
| Adventhealth Port Charlotte | Port Charlotte | $27.09 | $7.74 – $14.13 |
| cleveland clinic florida weston hospital | Weston | $116.35 | $3.25 – $168.00 |
| martin north hospital | Stuart | $116.35 | $4.23 – $30.75 |
| indian river hospital | Vero Beach | $66.30 | $4.02 – $81.60 |