Smear gram stain at HCA FLORIDA TWIN CITIES HOSPITAL

160 Twin Springs Way, DEFUNIAK SPRINGS, FL · HCA Florida Healthcare · · NPI 1891732988

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 24, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.87 with Humana vs $432.90 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 →

Payer
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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
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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 $3.87 —
Humana MGMCRHMO $4.27 —
Wellmed MGMCR $4.27 —
United VACCN $4.27 —
Regency Hospice MCRMCD $4.27 —
NDMS Definitive Care MGMCR $4.27 —
United AllPayerAppendix $4.27 —
Humana MGMCRPPO $4.27 —
United MCR $4.36 —
BCBS MCRHMO $4.36 —
BCBS MCRPPO $4.36 —
WellCare MCR $4.48 —
Sunshine State MCR $4.48 —
American Health Plan MCR $4.53 —
Aetna MCR $4.53 —
Healthspring of Florida MGMGR $4.57 —
Florida Complete Care MCR $4.57 —
Gold Kidney of Florida MCR $4.65 —
Centurion GVT $4.70 —
Clear Spring Health MCR $4.70 —
Ultimate Health Plan MCR $4.91 —
Longevity Health Plan MCR $5.12 —
Oscar HIX $5.76 —
Simply Healthcare HIX $6.66 —
Simply MGMCR $74.07 —
CorVel Corporation WORKERSCOMP $90.27 —
Molina Healthcare MGMCR $91.39 —
Prime Health WC $92.17 —
Careworks (Rockport Community) WORKERSCOMP $95.02 —
United OptionsPPO $114.96 —
AvMed HMOFI $120.25 —
Sunshine State Health Plan QHP $122.66 —
AvMed ASOEO $144.30 —
Aetna ASA $144.30 —
Molina Healthcare HIX $153.92 —
United GlobalBenefitPlan $216.45 —
Plotkin Health COMM $240.50 —
AvMed HIXOON $240.50 —
Prime Health Sheriff WORKERSCOMP $240.50 —
Prime Health Sheriff COMM $240.50 —
Evolutions Healthcare MANAGEDCAREPPO $312.65 —
Multiplan Primary $375.18 —
Multiplan Complementary $408.85 —
PPO Next COMM $408.85 —
PPO Next PPO $408.85 —
Evolutions Healthcare TRADITIONALPPO $408.85 —
NovaNet COMM $432.90 —

Visitor-reported prices

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Smear gram stain at other Florida hospitals

Hospital City Cash price Negotiated range
Adventhealth Daytona Beach Daytona Beach $135.31 $4.06 – $7.13
Adventhealth Lake Wales Lake Wales $354.83 $4.27 – $9.48
Adventhealth Palm Coast Parkway Palm Coast $132.83 $4.06 – $9.12
Adventhealth Tampa Tampa $180.77 $4.27 – $9.48
AdventHealth New Smyrna Beach New Smyrna Beach $107.32 $4.06 – $9.33
Adventhealth Port Charlotte Port Charlotte $32.01 $4.27 – $7.80
cleveland clinic florida weston hospital Weston $52.65 $1.79 – $28.90
martin north hospital Stuart $52.65 $4.23 – $25.50

All Florida hospitals for this procedure →