Ot evaluation low complexity patient/family at HCA FLORIDA MEMORIAL HOSPITAL
11850 ATLANTIC BLVD, JACKSONVILLE, FL · HCA Florida Healthcare · · NPI 1447206438
$692.00
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.
$692.00
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.
$58.13 with Optimum Healthcare vs $622.80 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 | $58.13 | ↓ -92% |
| Hospice Community | FED | $69.39 | ↓ -90% |
| Hospice Haven | MCR | $78.06 | ↓ -89% |
| AvMed | HIX | $83.04 | ↓ -88% |
| Aetna | MCR | $86.73 | ↓ -87% |
| Devoted Health | MCR | $86.73 | ↓ -87% |
| Humana | MGMCRHMO | $86.73 | ↓ -87% |
| Humana | MGMCRPPO | $86.73 | ↓ -87% |
| Veterans Evaluation Services | MCR | $86.73 | ↓ -87% |
| United | VACCN | $86.73 | ↓ -87% |
| United Behavioral Health | VACCN | $86.73 | ↓ -87% |
| NDMS Definitive Care | MGMCR | $86.73 | ↓ -87% |
| CarePlus | MGMCR | $86.73 | ↓ -87% |
| WellMed | MGMCRTier2 | $87.17 | ↓ -87% |
| WellMed | MGMCRTier1 | $87.17 | ↓ -87% |
| WellMed | MGMCRTier3 | $87.17 | ↓ -87% |
| Simply Healthcare | HIX | $87.88 | ↓ -87% |
| BCBS | MCRPPO | $88.47 | ↓ -87% |
| United | MCR | $88.47 | ↓ -87% |
| BCBS | MCRHMO | $88.47 | ↓ -87% |
| United | OptionsPPO | $88.58 | ↓ -87% |
| Sunshine State | MCR | $91.07 | ↓ -87% |
| WellCare | MCR | $91.07 | ↓ -87% |
| American Health Plan | MCR | $91.94 | ↓ -87% |
| Cigna Healthspring | MCR | $92.80 | ↓ -87% |
| Florida Complete Care | MGMCR | $92.80 | ↓ -87% |
| Gold Kidney | MGMCR | $94.54 | ↓ -86% |
| City of Jacksonville | WC | $95.00 | ↓ -86% |
| CorVel Corporation | WORKERSCOMP | $95.00 | ↓ -86% |
| Prime Health | WORKERSCOMP | $97.00 | ↓ -86% |
| Humana | TRICARE | $98.23 | ↓ -86% |
| Longevity | MCR | $104.08 | ↓ -85% |
| Simply Healthcare | MGMCR | $106.57 | ↓ -85% |
| Oscar | HIX | $110.72 | ↓ -84% |
| Positive Healthcare | MCR | $152.24 | ↓ -78% |
| AvMed | HMOFI | $159.16 | ↓ -77% |
| Cigna | NBN | $165.39 | ↓ -76% |
| Sunshine State Health Plan | QHP | $176.46 | ↓ -75% |
| Molina Healthcare | HIX | $186.84 | ↓ -73% |
| Centurion | PRISN | $191.61 | ↓ -72% |
| AvMed | ASOEO | $193.76 | ↓ -72% |
| Cigna | PPO | $195.84 | ↓ -72% |
| Cigna | OAP | $195.84 | ↓ -72% |
| Humana | HMO | $200.68 | ↓ -71% |
| Humana | PPO | $200.68 | ↓ -71% |
| Aetna | ASA | $207.60 | ↓ -70% |
| Corizon | COMM | $207.60 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $311.40 | ↓ -55% |
| Plotkin Health | COMM | $346.00 | ↓ -50% |
| MultiPlan | PRIMARYNETWORK | $539.76 | ↓ -22% |
| Evernorth | COMM | $553.60 | ↓ -20% |
| Evolutions Healthcare | MANAGEDCAREPPO | $553.60 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $588.20 | ↓ -15% |
| PPO Next | PPO | $588.20 | ↓ -15% |
| PPO Next | COMM | $588.20 | ↓ -15% |
| MultiPlan | COMPLEMENTARYNETWORK | $588.20 | ↓ -15% |
| NovaNet | COMM | $622.80 | ↓ -10% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Ot evaluation low complexity patient/family 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 | $94.30 – $245.58 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | not published | $95.28 – $245.58 |
| Adventhealth Daytona Beach | Daytona Beach | $369.90 | $93.63 – $164.50 |
| Adventhealth Lake Wales | Lake Wales | $758.39 | $98.56 – $218.80 |
| Adventhealth Palm Coast Parkway | Palm Coast | $474.36 | not published |
| Adventhealth Tampa | Tampa | $654.12 | $98.56 – $218.80 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $281.15 | $93.63 – $215.30 |
| Adventhealth Port Charlotte | Port Charlotte | $664.73 | not published |