Dch validity tests 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.
$0.94 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $35.69 with Prime 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 |
|---|---|---|---|
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.94 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $1.44 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $1.44 | — |
| Freedom Health Care | MGMGR | $1.56 | — |
| Optimum Healthcare | MCRPPO | $1.56 | — |
| Optimum Healthcare | MCRHMO | $1.56 | — |
| Optimum Healthcare | PFFS | $1.56 | — |
| AvMed | HIX | $1.60 | — |
| Simply Healthcare | MGMCR | $3.08 | — |
| Humana | TRICARE | $3.15 | — |
| CareSource | Tricare | $3.25 | — |
| United | OptionsPPO | $3.28 | — |
| United | MGMCD | $3.48 | — |
| NDMS Definitive Care | MCR | $3.48 | — |
| United VA CCN | FED | $3.48 | — |
| Aetna | MCR | $3.48 | — |
| WellMed | MCR | $3.48 | — |
| United | AllPayerAppendix | $3.48 | — |
| BCBS | MGMCRHMO | $3.55 | — |
| Ultimate Health Plan | MCR | $3.55 | — |
| United | MCR | $3.55 | — |
| BCBS | MCRPPO | $3.55 | — |
| HUMANA | MGMCRPPO | $3.65 | — |
| WellCare | MCR | $3.65 | — |
| Sunshine State | MCR | $3.65 | — |
| American Health Plan | MCR | $3.69 | — |
| Florida Complete Care | MCR | $3.72 | — |
| Align Senior Care | MCR | $3.72 | — |
| Cigna HealthSpring | MCR | $3.72 | — |
| SECUR | MGMCR | $3.76 | — |
| Gold Kidney of Florida | Medicare | $3.79 | — |
| Molina | MGMCR | $3.80 | — |
| Centurion | LOGOV | $3.83 | — |
| Clear Spring Health | MCR | $3.83 | — |
| HUMANA | MGMCRHMO | $3.83 | — |
| AvMed | HMOFI | $4.40 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $4.60 | — |
| Simply Healthcare | HIX | $4.94 | — |
| AvMed | ASOEO | $5.00 | — |
| Sunshine State Health Plan | QHP | $5.10 | — |
| Oscar | HIX | $5.36 | — |
| Molina | HIX | $5.40 | — |
| Humana | PPO | $5.60 | — |
| Humana | HMO | $5.60 | — |
| Aetna | ASA | $6.00 | — |
| BeHealthy America | MCR | $7.80 | — |
| United | GlobalBenefitPlanAppendix | $9.00 | — |
| Prime Health Sheriff | COMM | $10.00 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $10.00 | — |
| Healthcare Sarasota | COMM | $10.00 | — |
| Plotkin Health | COMM | $10.00 | — |
| Multiplan | PRIMARYPPO | $15.00 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $15.00 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $15.00 | — |
| Multiplan | COMPLEMENTARYPPO | $17.00 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $18.40 | — |
| CorVel Corporation | WORKERSCOMP | $34.95 | — |
| Rockport Healthcare Group | WORKERSCOMP | $34.95 | — |
| Prime Health | WorkersComp | $35.69 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Dch validity tests at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $60.18 | $3.31 – $7.43 |
| Adventhealth Tampa | Tampa | $61.78 | $3.48 – $7.73 |
| Adventhealth Port Charlotte | Port Charlotte | $25.85 | $3.48 – $6.35 |
| cleveland clinic florida weston hospital | Weston | $25.35 | $1.43 – $31.45 |
| martin north hospital | Stuart | $51.35 | $1.50 – $18.50 |
| indian river hospital | Vero Beach | $25.35 | $1.43 – $29.60 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $4.90 | $3.06 – $8.70 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $8.20 | $3.48 – $12.76 |