Cllr miami j sm at HCA FLORIDA FAWCETT HOSPITAL
8919 College Point Ct, FORT MYERS, FL · HCA Florida Healthcare · · NPI 1417901406
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.
$306.20 with Humana vs $347.24 with Clear Spring Health — 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 | $306.20 | — |
| United VA CCN | FED | $315.67 | — |
| Aetna | MCR | $315.67 | — |
| United | MGMCD | $315.67 | — |
| CareSource | Tricare | $315.67 | — |
| WellMed | MCR | $315.67 | — |
| NDMS Definitive Care | MCR | $315.67 | — |
| United | MCR | $321.98 | — |
| Ultimate Health Plan | MCR | $321.98 | — |
| BCBS | MCRPPO | $321.98 | — |
| BCBS | MGMCRHMO | $321.98 | — |
| Sunshine State | MCR | $331.45 | — |
| WellCare | MCR | $331.45 | — |
| HUMANA | MGMCRPPO | $331.45 | — |
| American Health Plan | MCR | $334.61 | — |
| Cigna HealthSpring | MCR | $337.77 | — |
| Florida Complete Care | MCR | $337.77 | — |
| Align Senior Care | MCR | $337.77 | — |
| SECUR | MGMCR | $340.92 | — |
| Gold Kidney of Florida | Medicare | $344.08 | — |
| HUMANA | MGMCRHMO | $347.24 | — |
| Centurion | LOGOV | $347.24 | — |
| Clear Spring Health | MCR | $347.24 | — |
Visitor-reported prices
Comments
Cllr miami j sm at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $1,195.96 | $306.20 – $457.72 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $264.83 | $306.20 – $457.72 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD | $1,005.10 | $306.20 – $347.24 |
| HCA FLORIDA LARGO HOSPITAL | LARGO | $1,005.10 | $306.20 – $457.72 |
| AdventHealth Orlando | Orlando | $329.00 | $315.67 – $836.53 |
| Adventhealth Carrollwood | Tampa | $1,286.19 | not published |
| Adventhealth Fish Memorial | Orange City | $1,176.39 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $252.54 – $378.80 |