Tomosynthesis breast diagnostic left at HCA FLORIDA TWIN CITIES HOSPITAL
160 Twin Springs Way, DEFUNIAK SPRINGS, FL · HCA Florida Healthcare · · NPI 1891732988
$375.00
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.
$375.00
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.
$11.78 with Humana vs $337.50 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 | $11.78 | ↓ -97% |
| Wellmed | MGMCR | $12.13 | ↓ -97% |
| NDMS Definitive Care | MGMCR | $12.13 | ↓ -97% |
| United | VACCN | $12.13 | ↓ -97% |
| Humana | MGMCRHMO | $12.13 | ↓ -97% |
| Humana | MGMCRPPO | $12.13 | ↓ -97% |
| Regency Hospice | MCRMCD | $12.13 | ↓ -97% |
| United | MCR | $12.37 | ↓ -97% |
| BCBS | MCRHMO | $12.37 | ↓ -97% |
| BCBS | MCRPPO | $12.37 | ↓ -97% |
| WellCare | MCR | $12.74 | ↓ -97% |
| Sunshine State | MCR | $12.74 | ↓ -97% |
| American Health Plan | MCR | $12.86 | ↓ -97% |
| Aetna | MCR | $12.86 | ↓ -97% |
| Florida Complete Care | MCR | $12.98 | ↓ -97% |
| Healthspring of Florida | MGMGR | $12.98 | ↓ -97% |
| Gold Kidney of Florida | MCR | $13.22 | ↓ -96% |
| Centurion | GVT | $13.34 | ↓ -96% |
| Clear Spring Health | MCR | $13.34 | ↓ -96% |
| Ultimate Health Plan | MCR | $13.95 | ↓ -96% |
| Longevity Health Plan | MCR | $14.56 | ↓ -96% |
| United | AllPayerAppendix | $57.31 | ↓ -85% |
| Simply | MGMCR | $57.75 | ↓ -85% |
| Molina Healthcare | MGMCR | $71.25 | ↓ -81% |
| United | OptionsPPO | $89.63 | ↓ -76% |
| AvMed | HMOFI | $93.75 | ↓ -75% |
| Sunshine State Health Plan | QHP | $95.63 | ↓ -74% |
| Aetna | QHP | $109.88 | ↓ -71% |
| Aetna | ASA | $112.50 | ↓ -70% |
| AvMed | ASOEO | $112.50 | ↓ -70% |
| Molina Healthcare | HIX | $120.00 | ↓ -68% |
| Aetna | PPO | $152.63 | ↓ -59% |
| Aetna | HMO | $152.63 | ↓ -59% |
| Aetna | HMO/PPO | $160.50 | ↓ -57% |
| United | GlobalBenefitPlan | $168.75 | ↓ -55% |
| Plotkin Health | COMM | $187.50 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $187.50 | ↓ -50% |
| AvMed | HIXOON | $187.50 | ↓ -50% |
| Prime Health Sheriff | COMM | $187.50 | ↓ -50% |
| Evolutions Healthcare | MANAGEDCAREPPO | $243.75 | ↓ -35% |
| Multiplan | Primary | $292.50 | ↓ -22% |
| Evolutions Healthcare | TRADITIONALPPO | $318.75 | ↓ -15% |
| PPO Next | COMM | $318.75 | ↓ -15% |
| PPO Next | PPO | $318.75 | ↓ -15% |
| Multiplan | Complementary | $318.75 | ↓ -15% |
| NovaNet | COMM | $337.50 | ↓ -10% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $457.00 | $9.70 – $14.56 |
| Adventhealth Port Charlotte | Port Charlotte | $244.86 | $12.86 – $23.48 |
| cleveland clinic florida weston hospital | Weston | $242.45 | $12.92 – $109.00 |
| martin north hospital | Stuart | $171.60 | $21.05 – $264.00 |
| indian river hospital | Vero Beach | $171.60 | $8.25 – $264.00 |
| Boca Raton Regional Hospital | BOCA RATON | $145.60 | $12.86 – $146.27 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $113.00 | $12.22 – $26.36 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $78.80 | $42.73 – $42.73 |