Vaccine pneumococcal conjugate 13 valent (pcv13) im at HCA FLORIDA LAKE CITY HOSPITAL
1100 SW 11TH STREET, LIVE OAK, FL · HCA Florida Healthcare · · NPI 1992751879
$429.00
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.
?
What you pay up front if you don't use insurance.
$429.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$47.19 with BCBS vs $681.94 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 |
|---|---|---|---|
| BCBS | MBN | $47.19 | ↓ -89% |
| BCBS | SBN | $47.19 | ↓ -89% |
| BCBS | BSL | $47.19 | ↓ -89% |
| BCBS | PPO | $63.92 | ↓ -85% |
| BCBS | NWB | $63.92 | ↓ -85% |
| BCBS | HMO | $64.78 | ↓ -85% |
| Simply | MGMCR | $66.07 | ↓ -85% |
| Evolutions | TieredNetwork | $98.67 | ↓ -77% |
| United | OptionsPPO | $101.24 | ↓ -76% |
| BCBS | PHS | $111.11 | ↓ -74% |
| Aetna | ASA | $128.70 | ↓ -70% |
| Molina Healthcare | HIX | $137.28 | ↓ -68% |
| United | GlobalBenefitPlan | $193.05 | ↓ -55% |
| Plotkin Health | COMM | $214.50 | ↓ -50% |
| Prime Health Sheriff | COMM | $214.50 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $214.50 | ↓ -50% |
| AvMed | HIXOON | $214.50 | ↓ -50% |
| Hamilton County Jail | Prison | $231.66 | ↓ -46% |
| Humana | TRICARE | $250.25 | ↓ -42% |
| Multiplan | Primary | $334.62 | ↓ -22% |
| PPO Next | PPO | $364.65 | ↓ -15% |
| Evolutions | TRADITIONALPPO | $364.65 | ↓ -15% |
| PPO Next | COMM | $364.65 | ↓ -15% |
| Multiplan | Complementary | $364.65 | ↓ -15% |
| NovaNet | COMM | $386.10 | ↓ -10% |
| United | AllPayerAppendix | $425.45 | ↓ -1% |
| CorVel Corporation | WORKERSCOMP | $647.84 | ↑ +51% |
| Prime Health | WC | $661.48 | ↑ +54% |
| Careworks (Rockport Community) | WORKERSCOMP | $681.94 | ↑ +59% |
| Hospice of North Central FL | FEDERAL | not published by hospital | — |
| Humana | MGMCRHMO | not published by hospital | — |
| Humana | MGMCRPPO | not published by hospital | — |
| American Health Plan | MCR | not published by hospital | — |
| Centurion | GVT | not published by hospital | — |
| Align Senior Care | MGMCR | not published by hospital | — |
| WellCare | MCR | not published by hospital | — |
| Aetna | MCR | not published by hospital | — |
| Clear Spring Health | MCR | not published by hospital | — |
| United | VACCN | not published by hospital | — |
| United | MCR | not published by hospital | — |
| Cigna Healthspring | MCR | not published by hospital | — |
| BCBS | MCRHMO | not published by hospital | — |
| BCBS | MCRPPO | not published by hospital | — |
| Longevity Health Plan | MCR | not published by hospital | — |
| Florida Complete Care | MCR | not published by hospital | — |
| NDMS Definitive Care | MGMCR | not published by hospital | — |
| Sunshine State | MCR | not published by hospital | — |
| Wellmed | MGMCR | not published by hospital | — |
| Gold Kidney of Florida | MCR | not published by hospital | — |
| Ultimate Health Plan | MCR | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $599.00 | $257.99 – $702.93 |
| cleveland clinic florida weston hospital | Weston | $1,089.31 | $79.26 – $1,381.16 |
| martin north hospital | Stuart | $1,089.31 | $83.43 – $814.00 |
| indian river hospital | Vero Beach | $1,089.31 | $79.26 – $814.00 |
| Baptist Hospital | MIAMI | $393.25 | $77.93 – $544.50 |
| Bethesda Hospital East | BOYNTON BEACH | $393.25 | $77.93 – $544.50 |
| Doctors Hospital | CORAL GABLES | $393.25 | $75.54 – $544.50 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $393.25 | $75.54 – $544.50 |