Pt re-evaluation patient/family 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.
$9.96 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $194.90 with Evolutions Healthcare Systems — 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 | $9.96 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $15.25 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $15.25 | — |
| Optimum Healthcare | PFFS | $16.52 | — |
| Freedom Health Care | MGMGR | $16.52 | — |
| Optimum Healthcare | MCRHMO | $16.52 | — |
| Optimum Healthcare | MCRPPO | $16.52 | — |
| AvMed | HIX | $16.95 | — |
| Simply Healthcare | HIX | $31.14 | — |
| Oscar | HIX | $31.78 | — |
| Simply Healthcare | MGMCR | $32.62 | — |
| United | OptionsPPO | $34.74 | — |
| Cigna | HMO | $36.86 | — |
| Cigna | PPO | $36.86 | — |
| Molina | MGMCR | $40.25 | — |
| AvMed | HMOFI | $46.61 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $48.73 | — |
| AvMed | ASOEO | $52.96 | — |
| Sunshine State Health Plan | QHP | $54.02 | — |
| Molina | HIX | $57.20 | — |
| Aetna | MCR | $58.16 | — |
| NDMS Definitive Care | MCR | $58.16 | — |
| United | MGMCD | $58.16 | — |
| WellMed | MCR | $58.16 | — |
| United VA CCN | FED | $58.16 | — |
| BCBS | MCRPPO | $59.32 | — |
| Ultimate Health Plan | MCR | $59.32 | — |
| United | MCR | $59.32 | — |
| Humana | HMO | $59.32 | — |
| Humana | PPO | $59.32 | — |
| BCBS | MGMCRHMO | $59.32 | — |
| Sunshine State | MCR | $61.07 | — |
| WellCare | MCR | $61.07 | — |
| HUMANA | MGMCRPPO | $61.07 | — |
| American Health Plan | MCR | $61.65 | — |
| Rockport Healthcare Group | WORKERSCOMP | $61.75 | — |
| CorVel Corporation | WORKERSCOMP | $61.75 | — |
| Align Senior Care | MCR | $62.23 | — |
| Cigna HealthSpring | MCR | $62.23 | — |
| Florida Complete Care | MCR | $62.23 | — |
| SECUR | MGMCR | $62.81 | — |
| Prime Health | WorkersComp | $63.05 | — |
| Gold Kidney of Florida | Medicare | $63.39 | — |
| Aetna | ASA | $63.55 | — |
| Humana | TRICARE | $63.78 | — |
| Clear Spring Health | MCR | $63.97 | — |
| Centurion | LOGOV | $63.97 | — |
| HUMANA | MGMCRHMO | $63.97 | — |
| CareSource | Tricare | $65.75 | — |
| BeHealthy America | MCR | $82.62 | — |
| United | GlobalBenefitPlanAppendix | $95.33 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $105.92 | — |
| Prime Health Sheriff | COMM | $105.92 | — |
| Plotkin Health | COMM | $105.92 | — |
| Healthcare Sarasota | COMM | $105.92 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $158.89 | — |
| Multiplan | PRIMARYPPO | $158.89 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $158.89 | — |
| Multiplan | COMPLEMENTARYPPO | $180.07 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $194.90 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $300.25 | $62.79 – $110.30 |
| Adventhealth Lake Wales | Lake Wales | $326.78 | $66.09 – $146.72 |
| Adventhealth Palm Coast Parkway | Palm Coast | $303.28 | not published |
| Adventhealth Tampa | Tampa | $288.10 | $66.09 – $146.72 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $235.00 | $62.79 – $144.37 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $572.00 | $46.53 – $69.79 |
| Adventhealth Port Charlotte | Port Charlotte | $270.82 | not published |
| cleveland clinic florida weston hospital | Weston | $311.35 | $46.74 – $407.15 |