Diffusing capacity at HCA FLORIDA TWIN CITIES HOSPITAL
160 Twin Springs Way, DEFUNIAK SPRINGS, FL · HCA Florida Healthcare · · NPI 1891732988
$1,724.00
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.
$1,724.00
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.
$47.50 with CorVel Corporation vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $47.50 | ↓ -97% |
| Prime Health | WC | $48.50 | ↓ -97% |
| Careworks (Rockport Community) | WORKERSCOMP | $50.00 | ↓ -97% |
| BCBS | MCRPPO | $94.82 | ↓ -95% |
| BCBS | MCRHMO | $95.16 | ↓ -94% |
| Oscar | HIX | $224.12 | ↓ -87% |
| Simply | MGMCR | $265.50 | ↓ -85% |
| Simply Healthcare | HIX | $287.91 | ↓ -83% |
| Cigna | NBN | $299.98 | ↓ -83% |
| Molina Healthcare | MGMCR | $327.56 | ↓ -81% |
| United | OptionsPPO | $412.04 | ↓ -76% |
| AvMed | HMOFI | $431.00 | ↓ -75% |
| Sunshine State Health Plan | QHP | $439.62 | ↓ -75% |
| Aetna | QHP | $505.13 | ↓ -71% |
| Aetna | ASA | $517.20 | ↓ -70% |
| AvMed | ASOEO | $517.20 | ↓ -70% |
| Molina Healthcare | HIX | $551.68 | ↓ -68% |
| Aetna | HMO | $701.67 | ↓ -59% |
| Aetna | PPO | $701.67 | ↓ -59% |
| Cigna | PPO | $715.46 | ↓ -59% |
| Cigna | ManagedCareHMO | $715.46 | ↓ -59% |
| Aetna | HMO/PPO | $737.87 | ↓ -57% |
| United | GlobalBenefitPlan | $775.80 | ↓ -55% |
| Prime Health Sheriff | COMM | $862.00 | ↓ -50% |
| Plotkin Health | COMM | $862.00 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $862.00 | ↓ -50% |
| AvMed | HIXOON | $862.00 | ↓ -50% |
| Evolutions Healthcare | MANAGEDCAREPPO | $1,120.60 | ↓ -35% |
| Multiplan | Primary | $1,344.72 | ↓ -22% |
| Multiplan | Complementary | $1,465.40 | ↓ -15% |
| PPO Next | COMM | $1,465.40 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $1,465.40 | ↓ -15% |
| PPO Next | PPO | $1,465.40 | ↓ -15% |
| NovaNet | COMM | $1,551.60 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +770% |
Visitor-reported prices
Comments
Diffusing capacity at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $361.39 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $331.76 | not published |
| Adventhealth Tampa | Tampa | $646.29 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $547.14 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $683.00 | $47.50 – $48.50 |
| Adventhealth Port Charlotte | Port Charlotte | $731.24 | not published |
| cleveland clinic florida weston hospital | Weston | $540.80 | $6.96 – $642.60 |
| martin north hospital | Stuart | $540.80 | $6.23 – $855.00 |