Adapt behavior tx phys/qhp at Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.)
3801 US-98 Port St, Joe, FL · Ascension · · NPI 1083941678
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.
$148.00 with AETNA vs $388.64 with OCCUNET — 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 |
|---|---|---|---|
| AETNA | 760_AETNA 20250701 | $148.00 | — |
| WELLCARE | 813_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001 | $172.73 | — |
| VETERAN | 806_VETERAN INPATIENT 20251001 | $172.73 | — |
| MEDICARE REPLACEMENT | 732_MEDICARE ADVANTAGE OUTPATIENT 20250101 | $172.73 | — |
| MEDICARE REPLACEMENT | 811_MEDICARE ADVANTAGE INPATIENT 20251001 | $172.73 | — |
| BLUE MCR REPLACEMENT | 729_MEDICARE ADVANTAGE BLUE OUTPATIENT 20250101 | $172.73 | — |
| BLUE MCR REPLACEMENT | 808_MEDICARE ADVANTAGE BLUE INPATIENT 20251001 | $172.73 | — |
| VETERAN | 726_VETERAN OUTPATIENT 20250101 | $172.73 | — |
| WELLCARE | 758_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250101 | $172.73 | — |
| UHC MEDICARE | 819_UHC MEDICARE ADVANTAGE INPATIENT 20251001 | $174.46 | — |
| HEALTHSPRING MCR REPLACEMENT | 730_MEDICARE ADVANTAGE CIGNA HEALTHSRPING OUTPATIENT 20250101 | $174.46 | — |
| UHC MEDICARE | 787_UHC MEDICARE ADVANTAGE OUTPATIENT 20250501 | $174.46 | — |
| HEALTHSPRING MCR REPLACEMENT | 809_MEDICARE ADVANTAGE CIGNA HEALTHSPRING INPATIENT 20251001 | $176.18 | — |
| HUMANA GOLD CHOICE MCR REPLACEMENT | 731_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101 | $177.91 | — |
| AETNA MEDICARE ADVANTAGE | 807_AETNA MEDICARE ADVANTAGE INPATIENT 20251001 | $177.91 | — |
| AETNA MEDICARE ADVANTAGE | 728_AETNA MEDICARE ADVANTAGE OUTPATIENT 20250101 | $177.91 | — |
| HUMANA GOLD CHOICE MCR REPLACEMENT | 810_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001 | $177.91 | — |
| SMARTHEALTH | 734_SMARTHEALTH PPO OUTPATIENT 20250101 | $241.82 | — |
| SMARTHEALTH | 816_SMARTHEALTH PPO INPATIENT 20251001 | $241.82 | — |
| OSCAR HEALTH PLAN | 742_OSCAR HEALTH PLAN OUTPATIENT 20250401 | $276.37 | — |
| OSCAR HEALTH PLAN | 815_OSCAR HEALTH PLAN INPATIENT 20251001 | $276.37 | — |
| AMBETTER COMMERCIAL-EXCHANGE | 725_SUNSHINE HEALTH AMBETTER COMMERCIAL OUTPATIENT 20250101 | $285.00 | — |
| AMBETTER COMMERCIAL-EXCHANGE | 817_SUNSHINE HEALTH AMBETTER COMMERCIAL INPATIENT 20251001 | $285.00 | — |
| OCCUNET | 582_MEDICARE ADVANTAGE OCCUNET OUTPATIENT 20221201 | $319.55 | — |
| OCCUNET | 812_MEDICARE ADVANTAGE OCCUNET INPATIENT 20251001 | $388.64 | — |
| CIGNA | 775_CIGNA 20250701 | not published by hospital | — |
Visitor-reported prices
Comments
Adapt behavior tx phys/qhp at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $600.60 | $58.06 – $785.40 |
| AdventHealth Orlando | Orlando | $543.00 | $185.35 – $491.19 |
| Adventhealth Carrollwood | Tampa | $926.54 | not published |
| martin north hospital | Stuart | not published | $87.13 – $203.89 |
| indian river hospital | Vero Beach | not published | $82.77 – $203.89 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $80.93 – $330.62 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $161.28 – $298.37 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | not published | $161.28 – $298.37 |