Calculi urinary-sendout at HCA FLORIDA MEMORIAL HOSPITAL
11850 ATLANTIC BLVD, JACKSONVILLE, FL · HCA Florida Healthcare · · NPI 1447206438
$15.00
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.
$15.00
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.
$1.26 with Optimum Healthcare vs $75.49 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 |
|---|---|---|---|
| Optimum Healthcare | MGMCR | $1.26 | ↓ -92% |
| AvMed | HIX | $1.80 | ↓ -88% |
| United | OptionsPPO | $1.92 | ↓ -87% |
| Simply Healthcare | MGMCR | $2.31 | ↓ -85% |
| Positive Healthcare | MCR | $3.30 | ↓ -78% |
| AvMed | HMOFI | $3.45 | ↓ -77% |
| Sunshine State Health Plan | QHP | $3.83 | ↓ -74% |
| Molina Healthcare | HIX | $4.05 | ↓ -73% |
| Centurion | PRISN | $4.15 | ↓ -72% |
| AvMed | ASOEO | $4.20 | ↓ -72% |
| Humana | HMO | $4.35 | ↓ -71% |
| Humana | PPO | $4.35 | ↓ -71% |
| Aetna | ASA | $4.50 | ↓ -70% |
| Corizon | COMM | $4.50 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $6.75 | ↓ -55% |
| Plotkin Health | COMM | $7.50 | ↓ -50% |
| Hospice Community | FED | $10.30 | ↓ -31% |
| Hospice Haven | MCR | $11.58 | ↓ -23% |
| MultiPlan | PRIMARYNETWORK | $11.70 | ↓ -22% |
| Evolutions Healthcare | MANAGEDCAREPPO | $12.00 | ↓ -20% |
| Evernorth | COMM | $12.00 | ↓ -20% |
| Humana | TRICARE | $12.03 | ↓ -20% |
| PPO Next | PPO | $12.75 | ↓ -15% |
| MultiPlan | COMPLEMENTARYNETWORK | $12.75 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $12.75 | ↓ -15% |
| PPO Next | COMM | $12.75 | ↓ -15% |
| Devoted Health | MCR | $12.87 | ↓ -14% |
| Humana | MGMCRHMO | $12.87 | ↓ -14% |
| Humana | MGMCRPPO | $12.87 | ↓ -14% |
| United Behavioral Health | VACCN | $12.87 | ↓ -14% |
| Aetna | MCR | $12.87 | ↓ -14% |
| United | VACCN | $12.87 | ↓ -14% |
| United | AllPayerAppendix | $12.87 | ↓ -14% |
| NDMS Definitive Care | MGMCR | $12.87 | ↓ -14% |
| Veterans Evaluation Services | MCR | $12.87 | ↓ -14% |
| CarePlus | MGMCR | $12.87 | ↓ -14% |
| WellMed | MGMCRTier2 | $12.93 | ↓ -14% |
| WellMed | MGMCRTier1 | $12.93 | ↓ -14% |
| WellMed | MGMCRTier3 | $12.93 | ↓ -14% |
| BCBS | MCRHMO | $13.13 | ↓ -12% |
| BCBS | MCRPPO | $13.13 | ↓ -12% |
| United | MCR | $13.13 | ↓ -12% |
| NovaNet | COMM | $13.50 | ↓ -10% |
| WellCare | MCR | $13.51 | ↓ -10% |
| Sunshine State | MCR | $13.51 | ↓ -10% |
| American Health Plan | MCR | $13.64 | ↓ -9% |
| Cigna Healthspring | MCR | $13.77 | ↓ -8% |
| Florida Complete Care | MGMCR | $13.77 | ↓ -8% |
| Gold Kidney | MGMCR | $14.03 | ↓ -6% |
| Longevity | MCR | $15.44 | ↑ +3% |
| Simply Healthcare | HIX | $15.96 | ↑ +6% |
| Oscar | HIX | $18.66 | ↑ +24% |
| City of Jacksonville | WC | $73.93 | ↑ +393% |
| CorVel Corporation | WORKERSCOMP | $73.93 | ↑ +393% |
| Prime Health | WORKERSCOMP | $75.49 | ↑ +403% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Calculi urinary-sendout 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 | $11.32 – $32.18 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | not published | $11.32 – $32.18 |
| Adventhealth Tampa | Tampa | $198.65 | $12.87 – $28.57 |
| Adventhealth Port Charlotte | Port Charlotte | $85.70 | $12.87 – $23.50 |
| Baptist Hospital | MIAMI | $57.20 | $4.86 – $79.20 |
| Bethesda Hospital East | BOYNTON BEACH | $57.20 | $6.32 – $79.20 |
| Boca Raton Regional Hospital | BOCA RATON | $23.40 | $12.87 – $23.51 |
| Doctors Hospital | CORAL GABLES | $57.20 | $6.12 – $79.20 |