ER Visit (level 4) 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.
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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.
$130.15 with CorVel Corporation vs $21,738.00 with Aetna — 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 | $130.15 | — |
| Prime Health | WC | $132.89 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $137.00 | — |
| Molina Healthcare | HIX | $960.00 | — |
| BCBS | MBN | $1,346.00 | — |
| BCBS | SBN | $1,346.00 | — |
| BCBS | BSL | $1,346.00 | — |
| Sunshine State Health Plan | QHP | $1,514.00 | — |
| BCBS | HMO | $1,821.00 | — |
| BCBS | PPO | $2,044.00 | — |
| BCBS | NWB | $2,044.00 | — |
| United | OptionsPPO | $2,087.90 | — |
| Simply Healthcare | HIX | $2,328.00 | — |
| Aetna | ASA | $2,620.80 | — |
| Oscar | HIX | $2,933.00 | — |
| United | GlobalBenefitPlan | $3,931.20 | — |
| United | AllPayerAppendix | $3,982.00 | — |
| Plotkin Health | COMM | $4,368.00 | — |
| AvMed | HIXOON | $4,368.00 | — |
| Prime Health Sheriff | WORKERSCOMP | $4,368.00 | — |
| Prime Health Sheriff | COMM | $4,368.00 | — |
| Cigna | NBN | $4,595.00 | — |
| BCBS | PHS | $4,756.00 | — |
| Aetna | HMO/PPO | $5,534.00 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $5,678.40 | — |
| Multiplan | Primary | $6,814.08 | — |
| AvMed | HMOFI | $7,010.00 | — |
| Evolutions Healthcare | TRADITIONALPPO | $7,425.60 | — |
| PPO Next | COMM | $7,425.60 | — |
| PPO Next | PPO | $7,425.60 | — |
| Multiplan | Complementary | $7,425.60 | — |
| AvMed | ASOEO | $7,774.00 | — |
| NovaNet | COMM | $7,862.40 | — |
| Cigna | PPO | $10,991.00 | — |
| Cigna | ManagedCareHMO | $10,991.00 | — |
| Aetna | QHP | $14,485.00 | — |
| Aetna | HMO | $21,738.00 | — |
| Aetna | PPO | $21,738.00 | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $2,233.14 | $413.95 – $727.25 |
| Adventhealth Lake Wales | Lake Wales | $1,991.01 | $435.74 – $967.34 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,946.01 | $413.95 – $930.69 |
| Adventhealth Tampa | Tampa | $2,959.97 | $435.74 – $967.34 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,469.48 | $413.95 – $951.87 |
| Adventhealth Port Charlotte | Port Charlotte | $5,468.64 | $435.74 – $795.66 |
| cleveland clinic florida weston hospital | Weston | $2,387.45 | $59.76 – $3,122.05 |
| martin north hospital | Stuart | $2,387.45 | $88.36 – $1,836.50 |