Tc-99m mebrofenin 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.
$16.08 with BCBS 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 |
|---|---|---|---|
| BCBS | MCRPPO | $16.08 | — |
| Aetna | MCR | $16.08 | — |
| BCBS | MCRHMO | $16.08 | — |
| Optimum Healthcare | MGMCR | $19.57 | — |
| AvMed | HIX | $27.96 | — |
| Simply Healthcare | HIX | $29.59 | — |
| United | OptionsPPO | $29.82 | — |
| Simply Healthcare | MGMCR | $35.88 | — |
| Oscar | HIX | $37.28 | — |
| Positive Healthcare | MCR | $51.26 | — |
| AvMed | HMOFI | $53.59 | — |
| Cigna | NBN | $55.69 | — |
| Sunshine State Health Plan | QHP | $59.41 | — |
| Molina Healthcare | HIX | $62.91 | — |
| Centurion | PRISN | $64.52 | — |
| AvMed | ASOEO | $65.24 | — |
| Cigna | OAP | $65.94 | — |
| Cigna | PPO | $65.94 | — |
| Humana | HMO | $67.57 | — |
| Humana | PPO | $67.57 | — |
| Corizon | COMM | $69.90 | — |
| United | GlobalBenefitPlanAppendix | $104.85 | — |
| Plotkin Health | COMM | $116.50 | — |
| MultiPlan | PRIMARYNETWORK | $181.74 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $186.40 | — |
| Evernorth | COMM | $186.40 | — |
| United | AllPayerAppendix | $187.21 | — |
| PPO Next | COMM | $198.05 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $198.05 | — |
| Evolutions Healthcare | TRADITIONALPPO | $198.05 | — |
| PPO Next | PPO | $198.05 | — |
| NovaNet | COMM | $209.70 | — |
| United Behavioral Health | VACCN | $233.00 | — |
| American Health Plan | MCR | $15,000.00 | — |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $146.52 | $22.88 – $84.63 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $146.52 | $22.88 – $138.42 |
| cleveland clinic florida weston hospital | Weston | $44.20 | $10.42 – $1,390.00 |
| martin north hospital | Stuart | $44.20 | $12.90 – $649.00 |
| indian river hospital | Vero Beach | $44.20 | $14.57 – $1,575.00 |
| Baptist Hospital | MIAMI | $167.70 | $44.63 – $232.20 |
| Bethesda Hospital East | BOYNTON BEACH | $167.70 | $51.86 – $258.00 |
| Boca Raton Regional Hospital | BOCA RATON | $115.05 | $63.72 – $177.00 |