Lipoprotein blood high res frac & quant 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.
$30.69 with Humana vs $78.67 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 |
|---|---|---|---|
| Humana | TRICARE | $30.69 | — |
| Wellmed | MGMCR | $33.86 | — |
| Humana | MGMCRHMO | $33.86 | — |
| Humana | MGMCRPPO | $33.86 | — |
| NDMS Definitive Care | MGMCR | $33.86 | — |
| Regency Hospice | MCRMCD | $33.86 | — |
| United | AllPayerAppendix | $33.86 | — |
| United | VACCN | $33.86 | — |
| BCBS | MCRHMO | $34.54 | — |
| United | MCR | $34.54 | — |
| BCBS | MCRPPO | $34.54 | — |
| Sunshine State | MCR | $35.55 | — |
| WellCare | MCR | $35.55 | — |
| Aetna | MCR | $35.89 | — |
| American Health Plan | MCR | $35.89 | — |
| Healthspring of Florida | MGMGR | $36.23 | — |
| Florida Complete Care | MCR | $36.23 | — |
| Gold Kidney of Florida | MCR | $36.91 | — |
| Centurion | GVT | $37.25 | — |
| Clear Spring Health | MCR | $37.25 | — |
| Ultimate Health Plan | MCR | $38.94 | — |
| Longevity Health Plan | MCR | $40.63 | — |
| Oscar | HIX | $45.71 | — |
| Simply Healthcare | HIX | $52.82 | — |
| CorVel Corporation | WORKERSCOMP | $74.74 | — |
| Prime Health | WC | $76.31 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $78.67 | — |
Visitor-reported prices
Comments
Lipoprotein blood high res frac & quant at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $149.50 | $12.50 – $50.00 |
| martin north hospital | Stuart | $149.50 | $14.09 – $49.89 |
| Boca Raton Regional Hospital | BOCA RATON | $141.05 | $33.86 – $70.52 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $37.25 | $30.69 – $77.95 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $109.00 | $33.52 – $82.30 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | $19.50 | $30.69 – $74.25 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON | $32.00 | $30.69 – $76.63 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE | $36.00 | $30.69 – $76.63 |