Pr moderate sedation same physician >= 5 years initial 15 minutes 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.
$13.30 with City of Jacksonville vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| City of Jacksonville | WC | $13.30 | — |
| CorVel Corporation | WORKERSCOMP | $13.30 | — |
| Prime Health | WORKERSCOMP | $13.58 | — |
| BCBS | MCRHMO | $181.13 | — |
| Aetna | MCR | $181.13 | — |
| BCBS | MCRPPO | $181.13 | — |
| Optimum Healthcare | MGMCR | $220.50 | — |
| BCBS | MBN | $278.25 | — |
| AvMed | HIX | $315.00 | — |
| Simply Healthcare | HIX | $333.38 | — |
| United | OptionsPPO | $336.00 | — |
| BCBS | SBN | $349.13 | — |
| BCBS | HMO | $349.13 | — |
| BCBS | NWB | $367.50 | — |
| BCBS | PPO | $367.50 | — |
| Simply Healthcare | MGMCR | $404.25 | — |
| Oscar | HIX | $420.00 | — |
| Aetna | QHP | $451.50 | — |
| Aetna | HMO | $511.88 | — |
| Aetna | PPO | $511.88 | — |
| Positive Healthcare | MCR | $577.50 | — |
| AvMed | HMOFI | $603.75 | — |
| Cigna | NBN | $627.37 | — |
| BCBS | BSLNON-PAR | $632.63 | — |
| BCBS | PHS | $632.63 | — |
| Sunshine State Health Plan | QHP | $669.38 | — |
| Molina Healthcare | HIX | $708.75 | — |
| Centurion | PRISN | $726.86 | — |
| AvMed | ASOEO | $735.00 | — |
| Cigna | PPO | $742.88 | — |
| Cigna | OAP | $742.88 | — |
| Humana | PPO | $761.25 | — |
| Humana | HMO | $761.25 | — |
| Corizon | COMM | $787.50 | — |
| Aetna | ASA | $787.50 | — |
| United | GlobalBenefitPlanAppendix | $1,181.25 | — |
| Plotkin Health | COMM | $1,312.50 | — |
| MultiPlan | PRIMARYNETWORK | $2,047.50 | — |
| Evernorth | COMM | $2,100.00 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $2,100.00 | — |
| Evolutions Healthcare | TRADITIONALPPO | $2,231.25 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $2,231.25 | — |
| PPO Next | PPO | $2,231.25 | — |
| PPO Next | COMM | $2,231.25 | — |
| NovaNet | COMM | $2,362.50 | — |
| United Behavioral Health | VACCN | $2,625.00 | — |
| American Health Plan | MCR | $15,000.00 | — |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $197.67 | $116.53 – $116.53 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $197.67 | $116.53 – $116.53 |
| Adventhealth Daytona Beach | Daytona Beach | $343.56 | not published |
| Adventhealth Lake Wales | Lake Wales | $1,714.51 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $365.85 | not published |
| Adventhealth Tampa | Tampa | $1,210.15 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $533.57 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $609.22 | not published |