Analysis tumor at HCA FLORIDA MEMORIAL HOSPITAL
11850 ATLANTIC BLVD, JACKSONVILLE, FL · HCA Florida Healthcare · · NPI 1447206438
$1,174.00
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.
$1,174.00
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.
$98.62 with Optimum Healthcare vs $1,056.60 with NovaNet — 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 |
|---|---|---|---|
| Optimum Healthcare | MGMCR | $98.62 | ↓ -92% |
| AvMed | HIX | $140.88 | ↓ -88% |
| Simply Healthcare | HIX | $149.10 | ↓ -87% |
| United | AllPayerAppendix | $149.16 | ↓ -87% |
| United | OptionsPPO | $150.27 | ↓ -87% |
| Simply Healthcare | MGMCR | $180.80 | ↓ -85% |
| Oscar | HIX | $187.84 | ↓ -84% |
| Positive Healthcare | MCR | $258.28 | ↓ -78% |
| AvMed | HMOFI | $270.02 | ↓ -77% |
| CorVel Corporation | WORKERSCOMP | $274.61 | ↓ -77% |
| City of Jacksonville | WC | $274.61 | ↓ -77% |
| Prime Health | WORKERSCOMP | $280.39 | ↓ -76% |
| Sunshine State Health Plan | QHP | $299.37 | ↓ -75% |
| Molina Healthcare | HIX | $316.98 | ↓ -73% |
| Centurion | PRISN | $325.08 | ↓ -72% |
| AvMed | ASOEO | $328.72 | ↓ -72% |
| Humana | HMO | $340.46 | ↓ -71% |
| Humana | PPO | $340.46 | ↓ -71% |
| Corizon | COMM | $352.20 | ↓ -70% |
| Aetna | ASA | $352.20 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $528.30 | ↓ -55% |
| Plotkin Health | COMM | $587.00 | ↓ -50% |
| MultiPlan | PRIMARYNETWORK | $915.72 | ↓ -22% |
| Evernorth | COMM | $939.20 | ↓ -20% |
| Evolutions Healthcare | MANAGEDCAREPPO | $939.20 | ↓ -20% |
| MultiPlan | COMPLEMENTARYNETWORK | $997.90 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $997.90 | ↓ -15% |
| PPO Next | PPO | $997.90 | ↓ -15% |
| PPO Next | COMM | $997.90 | ↓ -15% |
| NovaNet | COMM | $1,056.60 | ↓ -10% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Analysis tumor at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $57.72 | $69.85 – $352.62 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $57.72 | $69.85 – $352.62 |
| Baptist Hospital | MIAMI | $608.40 | $101.78 – $842.40 |
| Bethesda Hospital East | BOYNTON BEACH | $608.40 | $101.78 – $842.40 |
| Doctors Hospital | CORAL GABLES | $608.40 | $98.66 – $842.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $608.40 | $98.66 – $842.40 |
| Homestead Hospital | HOMESTEAD | $608.40 | $98.66 – $842.40 |
| West Kendall Baptist Hospital | MIAMI | $608.40 | $98.66 – $842.40 |