Fetal hemoglobin rosette at HCA FLORIDA LAKE CITY HOSPITAL
1100 SW 11TH STREET, LIVE OAK, FL · HCA Florida Healthcare · · NPI 1992751879
$40.25
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.
?
What you pay up front if you don't use insurance.
$40.25
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4.83 with AvMed vs $97.01 with Careworks (Rockport Community) — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AvMed | HIX | $4.83 | ↓ -88% |
| Simply | MGMCR | $6.20 | ↓ -85% |
| Humana | PPO | $8.05 | ↓ -80% |
| Humana | HMO | $8.05 | ↓ -80% |
| Hospice of North Central FL | FEDERAL | $8.42 | ↓ -79% |
| Humana | TRICARE | $8.49 | ↓ -79% |
| Evolutions | TieredNetwork | $9.26 | ↓ -77% |
| United | AllPayerAppendix | $9.36 | ↓ -77% |
| Humana | MGMCRHMO | $9.36 | ↓ -77% |
| Humana | MGMCRPPO | $9.36 | ↓ -77% |
| Wellmed | MGMCR | $9.36 | ↓ -77% |
| NDMS Definitive Care | MGMCR | $9.36 | ↓ -77% |
| United | VACCN | $9.36 | ↓ -77% |
| United | OptionsPPO | $9.50 | ↓ -76% |
| United | MCR | $9.55 | ↓ -76% |
| BCBS | MCRHMO | $9.55 | ↓ -76% |
| BCBS | MCRPPO | $9.55 | ↓ -76% |
| Aetna | MCR | $9.59 | ↓ -76% |
| AvMed | HMOFI | $9.66 | ↓ -76% |
| Sunshine State | MCR | $9.83 | ↓ -76% |
| WellCare | MCR | $9.83 | ↓ -76% |
| American Health Plan | MCR | $9.92 | ↓ -75% |
| Florida Complete Care | MCR | $10.02 | ↓ -75% |
| Align Senior Care | MGMCR | $10.02 | ↓ -75% |
| Cigna Healthspring | MCR | $10.02 | ↓ -75% |
| Gold Kidney of Florida | MCR | $10.20 | ↓ -75% |
| Sunshine State Health Plan | QHP | $10.26 | ↓ -75% |
| Centurion | GVT | $10.30 | ↓ -74% |
| Clear Spring Health | MCR | $10.30 | ↓ -74% |
| Ultimate Health Plan | MCR | $10.76 | ↓ -73% |
| Longevity Health Plan | MCR | $11.23 | ↓ -72% |
| AvMed | ASOEO | $11.27 | ↓ -72% |
| Oscar | HIX | $11.42 | ↓ -72% |
| Simply Healthcare | HIX | $11.70 | ↓ -71% |
| Aetna | ASA | $12.07 | ↓ -70% |
| Molina Healthcare | HIX | $12.88 | ↓ -68% |
| United | GlobalBenefitPlan | $18.11 | ↓ -55% |
| Prime Health Sheriff | COMM | $20.13 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $20.13 | ↓ -50% |
| Plotkin Health | COMM | $20.13 | ↓ -50% |
| AvMed | HIXOON | $20.13 | ↓ -50% |
| Hamilton County Jail | Prison | $21.73 | ↓ -46% |
| Multiplan | Primary | $31.39 | ↓ -22% |
| PPO Next | PPO | $34.21 | ↓ -15% |
| Evolutions | TRADITIONALPPO | $34.21 | ↓ -15% |
| Multiplan | Complementary | $34.21 | ↓ -15% |
| PPO Next | COMM | $34.21 | ↓ -15% |
| NovaNet | COMM | $36.23 | ↓ -10% |
| CorVel Corporation | WORKERSCOMP | $92.16 | ↑ +129% |
| Prime Health | WC | $94.10 | ↑ +134% |
| Careworks (Rockport Community) | WORKERSCOMP | $97.01 | ↑ +141% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Fetal hemoglobin rosette at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $179.24 | $8.89 – $15.62 |
| Adventhealth Tampa | Tampa | $96.16 | $9.36 – $20.78 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $187.00 | $7.49 – $100.00 |
| Adventhealth Port Charlotte | Port Charlotte | $68.94 | $9.36 – $17.09 |
| cleveland clinic florida weston hospital | Weston | $48.10 | $2.81 – $62.90 |
| martin north hospital | Stuart | $78.65 | $2.96 – $90.75 |
| indian river hospital | Vero Beach | $48.10 | $2.81 – $59.20 |
| Baptist Hospital | MIAMI | $245.05 | $3.12 – $339.30 |