Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im 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

$449.00

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.

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

$449.00

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.

$49.39 with BCBS vs $404.10 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
BCBS SBN $49.39 ↓ -89%
BCBS BSL $49.39 ↓ -89%
BCBS MBN $49.39 ↓ -89%
BCBS PPO $66.90 ↓ -85%
BCBS NWB $66.90 ↓ -85%
BCBS HMO $67.80 ↓ -85%
Simply MGMCR $69.15 ↓ -85%
United OptionsPPO $107.31 ↓ -76%
BCBS PHS $116.29 ↓ -74%
Humana TRICARE $129.47 ↓ -71%
Aetna ASA $134.70 ↓ -70%
Molina Healthcare HIX $143.68 ↓ -68%
CorVel Corporation WORKERSCOMP $149.47 ↓ -67%
Prime Health WC $152.62 ↓ -66%
Careworks (Rockport Community) WORKERSCOMP $157.34 ↓ -65%
United GlobalBenefitPlan $202.05 ↓ -55%
AvMed HIXOON $224.50 ↓ -50%
Prime Health Sheriff WORKERSCOMP $224.50 ↓ -50%
Plotkin Health COMM $224.50 ↓ -50%
Prime Health Sheriff COMM $224.50 ↓ -50%
Evolutions Healthcare MANAGEDCAREPPO $291.85 ↓ -35%
Multiplan Primary $350.22 ↓ -22%
PPO Next COMM $381.65 ↓ -15%
PPO Next PPO $381.65 ↓ -15%
Multiplan Complementary $381.65 ↓ -15%
Evolutions Healthcare TRADITIONALPPO $381.65 ↓ -15%
United AllPayerAppendix $400.41 ↓ -11%
NovaNet COMM $404.10 ↓ -10%

Visitor-reported prices

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Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Florida hospitals

Hospital City Cash price Negotiated range
Adventhealth Daytona Beach Daytona Beach $286.28 not published
Adventhealth Lake Wales Lake Wales $2,515.85 not published
Adventhealth Palm Coast Parkway Palm Coast $577.02 not published
Adventhealth Tampa Tampa $887.58 not published
AdventHealth New Smyrna Beach New Smyrna Beach $506.47 not published
HCA FLORIDA MEMORIAL HOSPITAL JACKSONVILLE $278.00 $133.47 – $220.23
Adventhealth Port Charlotte Port Charlotte $2,008.84 not published
cleveland clinic florida weston hospital Weston $547.93 $17.89 – $423.00

All Florida hospitals for this procedure →