Kidney function study at HCA FLORIDA MEMORIAL HOSPITAL
11850 ATLANTIC BLVD, JACKSONVILLE, FL · HCA Florida Healthcare · · NPI 1447206438
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.
$551.29 with Optimum Healthcare vs $5,906.70 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 | $551.29 | — |
| AvMed | HIX | $787.56 | — |
| United | OptionsPPO | $840.06 | — |
| United | AllPayerAppendix | $848.52 | — |
| Simply Healthcare | MGMCR | $1,010.70 | — |
| Positive Healthcare | MCR | $1,443.86 | — |
| AvMed | HMOFI | $1,509.49 | — |
| Sunshine State Health Plan | QHP | $1,673.57 | — |
| Molina Healthcare | HIX | $1,772.01 | — |
| Centurion | PRISN | $1,817.29 | — |
| AvMed | ASOEO | $1,837.64 | — |
| Humana | PPO | $1,903.27 | — |
| Humana | HMO | $1,903.27 | — |
| Aetna | ASA | $1,968.90 | — |
| Corizon | COMM | $1,968.90 | — |
| CorVel Corporation | WORKERSCOMP | $2,025.95 | — |
| City of Jacksonville | WC | $2,025.95 | — |
| Prime Health | WORKERSCOMP | $2,068.60 | — |
| United | GlobalBenefitPlanAppendix | $2,953.35 | — |
| Plotkin Health | COMM | $3,281.50 | — |
| MultiPlan | PRIMARYNETWORK | $5,119.14 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $5,250.40 | — |
| Evernorth | COMM | $5,250.40 | — |
| PPO Next | PPO | $5,578.55 | — |
| PPO Next | COMM | $5,578.55 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $5,578.55 | — |
| Evolutions Healthcare | TRADITIONALPPO | $5,578.55 | — |
| NovaNet | COMM | $5,906.70 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Kidney function study 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 | $268.51 – $884.18 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | not published | $268.51 – $884.18 |
| cleveland clinic florida weston hospital | Weston | $2,351.70 | $14.91 – $459.22 |
| martin north hospital | Stuart | $98.80 | $13.34 – $459.22 |
| indian river hospital | Vero Beach | $98.80 | $13.82 – $459.22 |
| Baptist Hospital | MIAMI | $1,064.05 | $173.17 – $1,473.30 |
| Bethesda Hospital East | BOYNTON BEACH | $1,064.05 | $234.02 – $1,473.30 |
| Doctors Hospital | CORAL GABLES | $1,064.05 | $226.86 – $1,473.30 |