Adapt behavior tx phys/qhp at Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.)
1 Shircliff Way, Jacksonville, FL · Ascension · · NPI 1134117575
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.
$80.93 with HUMANA PPO vs $362.88 with OCCUNET — 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 PPO | 1573_HUMANA PPO 20250101 | $80.93 | — |
| HUMANA HMO | 1572_HUMANA HMO 20250101 | $80.93 | — |
| HUMANA HMO CARDIOLOGY MCR REPLACEMENT | 1662_MEDICARE ADVANTAGE HUMANA HMO CARDIOLOGY INPATIENT 20251001 | $156.44 | — |
| HUMANA PPO MCR REPLACEMENT | 1535_MEDICARE ADVANTAGE HUMANA PPO OUTPATIENT 20250101 | $158.05 | — |
| WELLCARE | 1668_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001 | $161.28 | — |
| MEDICARE REPLACEMENT | 1537_MEDICARE ADVANTAGE OUTPATIENT 20250101 | $161.28 | — |
| MEDICARE REPLACEMENT | 1665_MEDICARE ADVANTAGE INPATIENT 20251001 | $161.28 | — |
| VETERANS ADMINISTRATION | 1522_VETERANS ADMINISTRATION OUTPATIENT 20250101 | $161.28 | — |
| VETERANS ADMINISTRATION | 1678_VETERANS ADMINISTRATION INPATIENT 20251001 | $161.28 | — |
| HUMANA PPO MCR REPLACEMENT | 1664_MEDICARE ADVANTAGE HUMANA PPO INPATIENT 20251001 | $161.28 | — |
| WELLCARE | 1574_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250101 | $161.28 | — |
| BC ADVANTAGE MCR REPLACEMENT | 1527_MEDICARE ADVANTAGE BLUE CROSS OUTPATIENT 20250101 | $161.28 | — |
| BC ADVANTAGE MCR REPLACEMENT | 1656_MEDICARE ADVANTAGE BLUE CROSS INPATIENT 20251001 | $161.28 | — |
| BLUE CROSS ALIGNMENT | 1526_MEDICARE ADVANTAGE ALIGNMENT HEALTHCARE OUTPATIENT 20250101 | $161.28 | — |
| BLUE CROSS ALIGNMENT | 1655_MEDICARE ADVANTAGE ALIGNMENT HEALTHCARE INPATIENT 20251001 | $161.28 | — |
| COMMUNITY HOSPICE | 1530_MEDICARE ADVANTAGE COMMUNITY HOSPICE OUTPATIENT 20250101 | $161.28 | — |
| HAVEN HOSPICE | 1532_MEDICARE ADVANTAGE HAVEN HOSPICE OUTPATIENT 20250101 | $161.28 | — |
| PACE PLACE | 1607_PACE PROGRAM OUTPATIENT 20190301 | $161.28 | — |
| PACE PLACE | 1673_PACE PROGRAM INPATIENT 20251001 | $161.28 | — |
| RESEARCH STUDY ENCORE BORLAND-GROOVER | 1580_RESEARCH STUDY ENCORE-BORLAND-GROOVER OUTPATIENT 20250301 | $161.28 | — |
| RESEARCH STUDY ENCORE BORLAND-GROOVER | 1674_RESEARCH STUDY ENCORE-BORLAND-GROOVER INPATIENT 20251001 | $161.28 | — |
| COVENTRY MCR REPLACEMENT HMO | 1531_MEDICARE ADVANTAGE COVENTRY HMO OUTPATIENT 20250101 | $161.28 | — |
| COVENTRY MCR REPLACEMENT HMO | 1659_MEDICARE ADVANTAGE COVENTRY HMO INPATIENT 20251001 | $161.28 | — |
| HEARTLAND OF HC | 1533_MEDICARE ADVANTAGE HEARTLAND HC OUTPATIENT 20250101 | $161.28 | — |
| HEARTLAND OF HC | 1660_MEDICARE ADVANTAGE HEARTLAND HC INPATIENT 20251001 | $161.28 | — |
| MEDICARE OTHER (NO SEQ) | 1518_MEDICARE ADVANTAGE (NO SEQ) OUTPATIENT 20250101 | $161.28 | — |
| MEDICARE OTHER (NO SEQ) | 1653_MEDICARE ADVANTAGE (NO SEQ) INPATIENT 20251001 | $161.28 | — |
| HUMANA HMO MCR REPLACEMENT | 1534_MEDICARE ADVANTAGE HUMANA HMO OUTPATIENT 20250101 | $162.89 | — |
| UHC WELLMED MCR REPLACEMENT | 1605_MEDICARE ADVANTAGE UNITED HEALTH CARE WELLMED OUTPATIENT 20250501 | $162.89 | — |
| CIGNA HEALTHSPRING | 1524_CIGNA HEALTHSPRING OUTPATIENT 20250101 | $162.89 | — |
| UHC WELLMED MCR REPLACEMENT | 1667_MEDICARE ADVANTAGE UNITED HEALTH CARE WELLMED INPATIENT 20251001 | $162.89 | — |
| HUMANA HMO MCR REPLACEMENT | 1663_MEDICARE ADVANTAGE HUMANA HMO INPATIENT 20251001 | $162.89 | — |
| CAREPLUS MCR REPLACEMENT | 1658_MEDICARE ADVANTAGE CAREPLUS INPATIENT 20251001 | $164.51 | — |
| CIGNA HEALTHSPRING | 1650_CIGNA HEALTHSPRING INPATIENT 20251001 | $164.51 | — |
| GOLD KIDNEY MEDICARE ADVANTAGE | 1562_GOLD KIDNEY MEDICARE ADVANTAGE OUTPATIENT 20240101 | $164.51 | — |
| GOLD KIDNEY MEDICARE ADVANTAGE | 1652_GOLD KIDNEY MEDICARE ADVANTAGE INPATIENT 20251001 | $164.51 | — |
| CAREPLUS MCR REPLACEMENT | 1529_MEDICARE ADVANTAGE CAREPLUS OUTPATIENT 20250101 | $164.51 | — |
| AETNA MCR REPLACEMENT | 1525_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 | $166.12 | — |
| AETNA MCR REPLACEMENT | 1654_MEDICARE ADVANTAGE AETNA INPATIENT 20251001 | $166.12 | — |
| BRIGHT HEALTH | 1657_MEDICARE ADVANTAGE BRIGHT HEALTH INPATIENT 20251001 | $217.73 | — |
| SMARTHEALTH | 1540_SMARTHEALTH OUTPATIENT 20250101 | $225.79 | — |
| SMARTHEALTH | 1675_SMARTHEALTH INPATIENT 20251001 | $225.79 | — |
| BRIGHT HEALTH | 1528_MEDICARE ADVANTAGE BRIGHT HEALTH OUTPATIENT 20250101 | $233.86 | — |
| AETNA WHOLE HEALTH | 1516_AETNA WHOLE HEALTH OUTPATIENT 20250101 | $249.98 | — |
| AETNA QUALIFIED HEALTH PLANS | 1515_AETNA QUALIFIED HEALTH PLAN (QHP) OUTPATIENT 20250101 | $249.98 | — |
| AETNA WHOLE HEALTH | 1648_AETNA WHOLE HEALTH INPATIENT 20251001 | $249.98 | — |
| AETNA QUALIFIED HEALTH PLANS | 1647_AETNA QUALIFIED HEALTH PLAN (QHP) INPATIENT 20251001 | $249.98 | — |
| OSCAR HEALTH PLAN | 1671_OSCAR HEALTH PLAN INPATIENT 20251001 | $258.05 | — |
| OSCAR HEALTH PLAN | 1549_OSCAR HEALTH PLAN OUTPATIENT 20250401 | $258.05 | — |
| AETNA | 1576_AETNA RIVER 20250701 | $266.00 | — |
| EMPLOYER DIRECT HEALTHCARE | 1624_EMPLOYER DIRECT HEALTHCARE INPATIENT 20251001 | $282.24 | — |
| EMPLOYER DIRECT HEALTHCARE | 1625_EMPLOYER DIRECT HEALTHCARE OUTPATIENT 20250101 | $282.24 | — |
| AVMED EXCHANGE | 1649_AVMED EXCHANGE INPATIENT 20251001 | $290.30 | — |
| 90 DEGREE BENEFITS | 1517_90 DEGREE BENEFITS OUTPATIENT 20250101 | $290.30 | — |
| 90 DEGREE BENEFITS | 1644_90 DEGREE BENEFITS INPATIENT 20251001 | $290.30 | — |
| AVMED EXCHANGE | 1609_AVMED EXCHANGE OUTPATIENT 20250201 | $290.30 | — |
| MOLINA EXCHANGE | 1520_MOLINA EXCHANGE OUTPATIENT 20250101 | $298.37 | — |
| MOLINA EXCHANGE | 1670_MOLINA EXCHANGE INPATIENT 20251001 | $298.37 | — |
| OCCUNET | 1519_MEDICARE ADVANTAGE OCCUNET OUTPATIENT 20250101 | $298.37 | — |
| AMBETTER COMMERCIAL-EXCHANGE | 1676_SUNSHINE AMBETTER EXCHANGE COMMERCIAL INPATIENT 20251001 | $306.43 | — |
| AMBETTER COMMERCIAL-EXCHANGE | 1521_SUNSHINE AMBETTER EXCHANGE COMMERCIAL OUTPATIENT 20250101 | $306.43 | — |
| AETNA NEW BUSINESS DISCOUNT | 1646_AETNA NEW BUSINESS DISCOUNT INPATIENT 20251001 | $330.62 | — |
| AETNA NEW BUSINESS DISCOUNT | 1021_AETNA NEW BUSINESS DISCOUNT OUTPATIENT 20211015 | $330.62 | — |
| OCCUNET | 1666_MEDICARE ADVANTAGE OCCUNET INPATIENT 20251001 | $362.88 | — |
Visitor-reported prices
Comments
Adapt behavior tx phys/qhp at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $80.93 – $330.62 |
| cleveland clinic florida weston hospital | Weston | $600.60 | $58.06 – $785.40 |
| AdventHealth Orlando | Orlando | $543.00 | $185.35 – $491.19 |
| Adventhealth Carrollwood | Tampa | $926.54 | not published |
| martin north hospital | Stuart | not published | $87.13 – $203.89 |
| indian river hospital | Vero Beach | not published | $82.77 – $203.89 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $161.28 – $298.37 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | not published | $172.73 – $319.55 |