M/phmtrc alys skeletal musc at HCA FLORIDA LAKE CITY HOSPITAL
1100 SW 11TH STREET, LIVE OAK, FL · HCA Florida Healthcare · · NPI 1992751879
$86.00
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.
$86.00
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.
$10.32 with Oscar vs $272.01 with Careworks (Rockport Community) — 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 |
|---|---|---|---|
| Oscar | HIX | $10.32 | ↓ -88% |
| AvMed | HIX | $10.32 | ↓ -88% |
| Simply Healthcare | HIX | $10.92 | ↓ -87% |
| Simply | MGMCR | $13.24 | ↓ -85% |
| Humana | HMO | $17.20 | ↓ -80% |
| Humana | PPO | $17.20 | ↓ -80% |
| Evolutions | TieredNetwork | $19.78 | ↓ -77% |
| United | OptionsPPO | $20.30 | ↓ -76% |
| AvMed | HMOFI | $20.64 | ↓ -76% |
| Sunshine State Health Plan | QHP | $21.93 | ↓ -75% |
| AvMed | ASOEO | $24.08 | ↓ -72% |
| Aetna | ASA | $25.80 | ↓ -70% |
| Molina Healthcare | HIX | $27.52 | ↓ -68% |
| United | GlobalBenefitPlan | $38.70 | ↓ -55% |
| AvMed | HIXOON | $43.00 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $43.00 | ↓ -50% |
| Prime Health Sheriff | COMM | $43.00 | ↓ -50% |
| Plotkin Health | COMM | $43.00 | ↓ -50% |
| Hamilton County Jail | Prison | $46.44 | ↓ -46% |
| Multiplan | Primary | $67.08 | ↓ -22% |
| PPO Next | COMM | $73.10 | ↓ -15% |
| Evolutions | TRADITIONALPPO | $73.10 | ↓ -15% |
| PPO Next | PPO | $73.10 | ↓ -15% |
| Multiplan | Complementary | $73.10 | ↓ -15% |
| NovaNet | COMM | $77.40 | ↓ -10% |
| United | AllPayerAppendix | $149.16 | ↑ +73% |
| CorVel Corporation | WORKERSCOMP | $258.41 | ↑ +200% |
| Prime Health | WC | $263.85 | ↑ +207% |
| Careworks (Rockport Community) | WORKERSCOMP | $272.01 | ↑ +216% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
M/phmtrc alys skeletal musc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $590.00 | $149.16 – $280.39 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $185.30 | $149.16 – $284.64 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $390.30 | $149.16 – $268.93 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $66.50 | $149.16 – $289.52 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $1,697.00 | $149.16 – $305.71 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES | $447.04 | $149.16 – $149.16 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $118.20 | $149.16 – $284.64 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE | $488.65 | $149.16 – $292.21 |