Tc-99m pentetate dtpa at Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.)
4201 Belfort Rd, Jacksonville, FL · Ascension · · NPI 1396926747
$512.08
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.
$1,384.00
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.
$47.94 with CIGNA NEW BUSINESS vs $94.00 with HUMANA PPO — 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 |
|---|---|---|---|
| CIGNA NEW BUSINESS | 1465_CIGNA NEW BUSINESS 20250701 | $47.94 | ↓ -91% |
| CIGNA HMO | 1463_CIGNA HMO 20250701 | $47.94 | ↓ -91% |
| CIGNA PPO | 1464_CIGNA PPO 20250701 | $47.94 | ↓ -91% |
| HUMANA HMO | 1443_HUMANA HMO 20250101 | $94.00 | ↓ -82% |
| HUMANA PPO | 1444_HUMANA PPO 20250101 | $94.00 | ↓ -82% |
Visitor-reported prices
Comments
Tc-99m pentetate dtpa at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $512.08 | $33.94 – $94.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $47.39 – $47.39 |
| cleveland clinic florida weston hospital | Weston | $276.90 | $44.35 – $1,390.00 |
| martin north hospital | Stuart | $276.90 | $54.91 – $649.00 |
| indian river hospital | Vero Beach | $276.90 | $62.04 – $1,575.00 |
| Baptist Hospital | MIAMI | $362.05 | $96.36 – $501.30 |
| Bethesda Hospital East | BOYNTON BEACH | $362.05 | $111.96 – $557.00 |
| Boca Raton Regional Hospital | BOCA RATON | $66.30 | $36.72 – $102.00 |