Pt evaluation high complexity patient/family at HCA FLORIDA MEMORIAL HOSPITAL
11850 ATLANTIC BLVD, JACKSONVILLE, FL · HCA Florida Healthcare · · NPI 1447206438
$1,109.00
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.
$1,109.00
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.
$67.58 with Hospice Community vs $998.10 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 |
|---|---|---|---|
| Hospice Community | FED | $67.58 | ↓ -94% |
| Hospice Haven | MCR | $76.03 | ↓ -93% |
| United Behavioral Health | VACCN | $84.48 | ↓ -92% |
| Devoted Health | MCR | $84.48 | ↓ -92% |
| Aetna | MCR | $84.48 | ↓ -92% |
| Veterans Evaluation Services | MCR | $84.48 | ↓ -92% |
| NDMS Definitive Care | MGMCR | $84.48 | ↓ -92% |
| Humana | MGMCRHMO | $84.48 | ↓ -92% |
| Humana | MGMCRPPO | $84.48 | ↓ -92% |
| United | VACCN | $84.48 | ↓ -92% |
| CarePlus | MGMCR | $84.48 | ↓ -92% |
| WellMed | MGMCRTier3 | $84.90 | ↓ -92% |
| WellMed | MGMCRTier2 | $84.90 | ↓ -92% |
| WellMed | MGMCRTier1 | $84.90 | ↓ -92% |
| BCBS | MCRPPO | $86.17 | ↓ -92% |
| United | MCR | $86.17 | ↓ -92% |
| BCBS | MCRHMO | $86.17 | ↓ -92% |
| Sunshine State | MCR | $88.70 | ↓ -92% |
| WellCare | MCR | $88.70 | ↓ -92% |
| American Health Plan | MCR | $89.55 | ↓ -92% |
| City of Jacksonville | WC | $90.25 | ↓ -92% |
| CorVel Corporation | WORKERSCOMP | $90.25 | ↓ -92% |
| Florida Complete Care | MGMCR | $90.39 | ↓ -92% |
| Cigna Healthspring | MCR | $90.39 | ↓ -92% |
| Gold Kidney | MGMCR | $92.08 | ↓ -92% |
| Prime Health | WORKERSCOMP | $92.15 | ↓ -92% |
| Optimum Healthcare | MGMCR | $93.16 | ↓ -92% |
| Humana | TRICARE | $95.80 | ↓ -91% |
| Longevity | MCR | $101.38 | ↓ -91% |
| AvMed | HIX | $133.08 | ↓ -88% |
| Simply Healthcare | HIX | $140.84 | ↓ -87% |
| United | OptionsPPO | $141.95 | ↓ -87% |
| Simply Healthcare | MGMCR | $170.79 | ↓ -85% |
| Oscar | HIX | $177.44 | ↓ -84% |
| Positive Healthcare | MCR | $243.98 | ↓ -78% |
| AvMed | HMOFI | $255.07 | ↓ -77% |
| Cigna | NBN | $265.05 | ↓ -76% |
| Sunshine State Health Plan | QHP | $282.80 | ↓ -74% |
| Molina Healthcare | HIX | $299.43 | ↓ -73% |
| Centurion | PRISN | $307.08 | ↓ -72% |
| AvMed | ASOEO | $310.52 | ↓ -72% |
| Cigna | PPO | $313.85 | ↓ -72% |
| Cigna | OAP | $313.85 | ↓ -72% |
| Humana | HMO | $321.61 | ↓ -71% |
| Humana | PPO | $321.61 | ↓ -71% |
| Aetna | ASA | $332.70 | ↓ -70% |
| Corizon | COMM | $332.70 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $499.05 | ↓ -55% |
| Plotkin Health | COMM | $554.50 | ↓ -50% |
| MultiPlan | PRIMARYNETWORK | $865.02 | ↓ -22% |
| Evernorth | COMM | $887.20 | ↓ -20% |
| Evolutions Healthcare | MANAGEDCAREPPO | $887.20 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $942.65 | ↓ -15% |
| PPO Next | PPO | $942.65 | ↓ -15% |
| PPO Next | COMM | $942.65 | ↓ -15% |
| MultiPlan | COMPLEMENTARYNETWORK | $942.65 | ↓ -15% |
| NovaNet | COMM | $998.10 | ↓ -10% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Pt evaluation high 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 | $100.92 | $91.97 – $239.50 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $100.92 | $92.93 – $239.50 |
| Adventhealth Daytona Beach | Daytona Beach | $384.35 | $95.26 – $167.35 |
| Adventhealth Lake Wales | Lake Wales | $589.05 | $100.27 – $222.60 |
| Adventhealth Palm Coast Parkway | Palm Coast | $448.92 | not published |
| Adventhealth Tampa | Tampa | $750.11 | $100.27 – $222.60 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $667.18 | $95.26 – $219.04 |
| Adventhealth Port Charlotte | Port Charlotte | $845.68 | not published |