Prolactin at HCA FLORIDA TWIN CITIES HOSPITAL
160 Twin Springs Way, DEFUNIAK SPRINGS, FL · HCA Florida Healthcare · · NPI 1891732988
$126.86
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.
$126.86
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.
$17.57 with Humana vs $114.17 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 | $17.57 | ↓ -86% |
| Humana | MGMCRHMO | $19.38 | ↓ -85% |
| United | AllPayerAppendix | $19.38 | ↓ -85% |
| Wellmed | MGMCR | $19.38 | ↓ -85% |
| United | VACCN | $19.38 | ↓ -85% |
| NDMS Definitive Care | MGMCR | $19.38 | ↓ -85% |
| Humana | MGMCRPPO | $19.38 | ↓ -85% |
| Regency Hospice | MCRMCD | $19.38 | ↓ -85% |
| Simply | MGMCR | $19.54 | ↓ -85% |
| United | MCR | $19.77 | ↓ -84% |
| BCBS | MCRHMO | $19.77 | ↓ -84% |
| BCBS | MCRPPO | $19.77 | ↓ -84% |
| Sunshine State | MCR | $20.35 | ↓ -84% |
| WellCare | MCR | $20.35 | ↓ -84% |
| American Health Plan | MCR | $20.54 | ↓ -84% |
| Aetna | MCR | $20.54 | ↓ -84% |
| Healthspring of Florida | MGMGR | $20.74 | ↓ -84% |
| Florida Complete Care | MCR | $20.74 | ↓ -84% |
| Gold Kidney of Florida | MCR | $21.12 | ↓ -83% |
| Clear Spring Health | MCR | $21.32 | ↓ -83% |
| Centurion | GVT | $21.32 | ↓ -83% |
| Ultimate Health Plan | MCR | $22.29 | ↓ -82% |
| Longevity Health Plan | MCR | $23.26 | ↓ -82% |
| Molina Healthcare | MGMCR | $24.10 | ↓ -81% |
| Oscar | HIX | $26.16 | ↓ -79% |
| Simply Healthcare | HIX | $30.23 | ↓ -76% |
| United | OptionsPPO | $30.32 | ↓ -76% |
| AvMed | HMOFI | $31.71 | ↓ -75% |
| Sunshine State Health Plan | QHP | $32.35 | ↓ -74% |
| AvMed | ASOEO | $38.06 | ↓ -70% |
| Aetna | ASA | $38.06 | ↓ -70% |
| Molina Healthcare | HIX | $40.60 | ↓ -68% |
| United | GlobalBenefitPlan | $57.09 | ↓ -55% |
| Plotkin Health | COMM | $63.43 | ↓ -50% |
| AvMed | HIXOON | $63.43 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $63.43 | ↓ -50% |
| Prime Health Sheriff | COMM | $63.43 | ↓ -50% |
| CorVel Corporation | WORKERSCOMP | $71.83 | ↓ -43% |
| Prime Health | WC | $73.34 | ↓ -42% |
| Careworks (Rockport Community) | WORKERSCOMP | $75.61 | ↓ -40% |
| Evolutions Healthcare | MANAGEDCAREPPO | $82.46 | ↓ -35% |
| Multiplan | Primary | $98.95 | ↓ -22% |
| PPO Next | COMM | $107.83 | ↓ -15% |
| Multiplan | Complementary | $107.83 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $107.83 | ↓ -15% |
| PPO Next | PPO | $107.83 | ↓ -15% |
| NovaNet | COMM | $114.17 | ↓ -10% |
Visitor-reported prices
Comments
Prolactin at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $293.28 | $18.41 – $32.35 |
| Adventhealth Lake Wales | Lake Wales | $67.31 | $19.38 – $43.02 |
| Adventhealth Palm Coast Parkway | Palm Coast | $310.40 | $18.41 – $41.39 |
| Adventhealth Tampa | Tampa | $167.03 | $19.38 – $43.02 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $66.00 | $18.41 – $42.34 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $389.00 | $15.50 – $72.55 |
| Adventhealth Port Charlotte | Port Charlotte | $142.80 | $19.38 – $35.39 |
| cleveland clinic florida weston hospital | Weston | $131.30 | $6.33 – $29.88 |