Pretreat rbc w enzyme reference 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.
$10.08 with Optimum Healthcare vs $291.26 with United — 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 | $10.08 | — |
| AvMed | HIX | $14.40 | — |
| Simply Healthcare | HIX | $15.24 | — |
| United | OptionsPPO | $15.36 | — |
| Simply Healthcare | MGMCR | $18.48 | — |
| Oscar | HIX | $19.20 | — |
| Positive Healthcare | MCR | $26.40 | — |
| AvMed | HMOFI | $27.60 | — |
| Sunshine State Health Plan | QHP | $30.60 | — |
| Molina Healthcare | HIX | $32.40 | — |
| Centurion | PRISN | $33.23 | — |
| AvMed | ASOEO | $33.60 | — |
| Humana | PPO | $34.80 | — |
| Humana | HMO | $34.80 | — |
| Aetna | ASA | $36.00 | — |
| Corizon | COMM | $36.00 | — |
| CorVel Corporation | WORKERSCOMP | $43.21 | — |
| City of Jacksonville | WC | $43.21 | — |
| Prime Health | WORKERSCOMP | $44.12 | — |
| United | GlobalBenefitPlanAppendix | $54.00 | — |
| Plotkin Health | COMM | $60.00 | — |
| MultiPlan | PRIMARYNETWORK | $93.60 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $96.00 | — |
| Evernorth | COMM | $96.00 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $102.00 | — |
| Evolutions Healthcare | TRADITIONALPPO | $102.00 | — |
| PPO Next | PPO | $102.00 | — |
| PPO Next | COMM | $102.00 | — |
| NovaNet | COMM | $108.00 | — |
| United | AllPayerAppendix | $291.26 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Pretreat rbc w enzyme reference 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 | $38.78 – $352.62 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | not published | $38.78 – $352.62 |
| cleveland clinic florida weston hospital | Weston | $167.05 | $51.52 – $218.45 |
| martin north hospital | Stuart | $167.05 | $54.23 – $195.71 |
| indian river hospital | Vero Beach | $167.05 | $51.52 – $205.60 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $71.00 | $45.36 – $291.26 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $1,508.00 | $47.11 – $291.26 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $878.80 | $40.19 – $291.26 |