Pt evaluation high complexity patient/family at Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.)
1670 St. Vincent's Way, Middleburg, FL · Ascension · · NPI 1457690471
$100.92
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.
$272.75
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.
$92.93 with HUMANA HMO CARDIOLOGY MCR REPLACEMENT vs $266.00 with AETNA — 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 |
|---|---|---|---|
| HUMANA HMO CARDIOLOGY MCR REPLACEMENT | 1813_MEDICARE ADVANTAGE HUMANA HMO CARDIOLOGY INPATIENT SCFL 20251001 | $92.93 | ↓ -8% |
| HUMANA PPO MCR REPLACEMENT | 1595_MEDICARE ADVANTAGE HUMANA PPO OUTPATIENT 20250101 | $93.88 | ↓ -7% |
| HUMANA PPO MCR REPLACEMENT | 1800_MEDICARE ADVANTAGE HUMANA PPO INPATIENT 20251001 | $95.80 | ↓ -5% |
| WELLCARE | 1662_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250101 | $95.80 | ↓ -5% |
| WELLCARE | 1803_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001 | $95.80 | ↓ -5% |
| MEDICARE REPLACEMENT | 1597_MEDICARE ADVANTAGE OUTPATIENT 20250101 | $95.80 | ↓ -5% |
| MEDICARE REPLACEMENT | 1801_MEDICARE ADVANTAGE INPATIENT 20251001 | $95.80 | ↓ -5% |
| VETERANS ADMINISTRATION | 1581_VETERANS ADMINISTRATION OUTPATIENT 20250101 | $95.80 | ↓ -5% |
| VETERANS ADMINISTRATION | 1781_VETERANS ADMINISTRATION INPATIENT 20251001 | $95.80 | ↓ -5% |
| BC ADVANTAGE MCR REPLACEMENT | 1586_MEDICARE ADVANTAGE BLUE CROSS OUTPATIENT 20250101 | $95.80 | ↓ -5% |
| BC ADVANTAGE MCR REPLACEMENT | 1786_MEDICARE ADVANTAGE BLUE CROSS INPATIENT 20251001 | $95.80 | ↓ -5% |
| BLUE CROSS ALIGNMENT | 1585_MEDICARE ADVANTAGE ALIGNMENT HEALTHCARE OUTPATIENT 20250101 | $95.80 | ↓ -5% |
| BLUE CROSS ALIGNMENT | 1779_MEDICARE ADVANTAGE ALIGNMENT HEALTHCARE INPATIENT 20251001 | $95.80 | ↓ -5% |
| COMMUNITY HOSPICE | 1590_MEDICARE ADVANTAGE COMMUNITY HOSPICE OUTPATIENT SCFL 20250101 | $95.80 | ↓ -5% |
| HAVEN HOSPICE | 1592_MEDICARE ADVANTAGE HAVEN HOSPICE OUTPATIENT 20250101 | $95.80 | ↓ -5% |
| RESEARCH STUDY ENCORE BORLAND-GROOVER | 1668_RESEARCH STUDY ENCORE-BORLAND-GROOVER OUTPATIENT 20250301 | $95.80 | ↓ -5% |
| RESEARCH STUDY ENCORE BORLAND-GROOVER | 1808_RESEARCH STUDY ENCORE-BORLAND-GROOVER INPATIENT 20251001 | $95.80 | ↓ -5% |
| COVENTRY MCR REPLACEMENT HMO | 1591_MEDICARE ADVANTAGE COVENTRY HMO OUTPATIENT 20250101 | $95.80 | ↓ -5% |
| COVENTRY MCR REPLACEMENT HMO | 1797_MEDICARE ADVANTAGE COVENTRY HMO INPATIENT SCFL 20251001 | $95.80 | ↓ -5% |
| UHC WELLMED MCR REPLACEMENT | 1802_MEDICARE ADVANTAGE UNITED HEALTH CARE WELLMED INPATIENT 20251001 | $96.76 | ↓ -4% |
| HUMANA HMO MCR REPLACEMENT | 1798_MEDICARE ADVANTAGE HUMANA HMO INPATIENT SCFL 20251001 | $96.76 | ↓ -4% |
| HUMANA HMO MCR REPLACEMENT | 1593_MEDICARE ADVANTAGE HUMANA HMO OUTPATIENT SCFL 20250101 | $96.76 | ↓ -4% |
| CIGNA HEALTHSPRING | 1583_CIGNA HEALTHSPRING OUTPATIENT 20250101 | $96.76 | ↓ -4% |
| UHC WELLMED MCR REPLACEMENT | 1714_MEDICARE ADVANTAGE UNITED HEALTH CARE WELLMED OUTPATIENT 20250501 | $96.76 | ↓ -4% |
| CAREPLUS MCR REPLACEMENT | 1588_MEDICARE ADVANTAGE CAREPLUS OUTPATIENT SCFL 20250101 | $97.72 | ↓ -3% |
| CAREPLUS MCR REPLACEMENT | 1788_MEDICARE ADVANTAGE CAREPLUS INPATIENT SCFL 20251001 | $97.72 | ↓ -3% |
| CIGNA HEALTHSPRING | 1777_CIGNA HEALTHSPRING INPATIENT 20251001 | $97.72 | ↓ -3% |
| GOLD KIDNEY MEDICARE ADVANTAGE | 1811_GOLD KIDNEY MEDICARE ADVANTAGE INPATIENT 20251001 | $97.72 | ↓ -3% |
| GOLD KIDNEY MEDICARE ADVANTAGE | 1638_GOLD KIDNEY MEDICARE ADVANTAGE OUTPATIENT 20240101 | $97.72 | ↓ -3% |
| AETNA MCR REPLACEMENT | 1795_MEDICARE ADVANTAGE AETNA INPATIENT 20251001 | $98.67 | ↓ -2% |
| AETNA MCR REPLACEMENT | 1584_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 | $98.67 | ↓ -2% |
| INMATE HEALTH CARE | 1794_INMATE HEALTH CARE INPATIENT SCFL 20251001 | $119.75 | ↑ +19% |
| INMATE HEALTH CARE | 1135_INMATE HEALTH CARE OUTPATIENT 20220701 | $119.75 | ↑ +19% |
| BRIGHT HEALTH | 1787_MEDICARE ADVANTAGE BRIGHT HEALTH INPATIENT SCFL 20251001 | $129.33 | ↑ +28% |
| SMARTHEALTH | 1600_SMARTHEALTH OUTPATIENT 20250101 | $134.12 | ↑ +33% |
| SMARTHEALTH | 1778_SMARTHEALTH INPATIENT 20251001 | $134.12 | ↑ +33% |
| BRIGHT HEALTH | 1587_MEDICARE ADVANTAGE BRIGHT HEALTH OUTPATIENT 20250101 | $138.91 | ↑ +38% |
| AETNA WHOLE HEALTH | 1575_AETNA WHOLE HEALTH OUTPATIENT SCFL 20250101 | $148.49 | ↑ +47% |
| AETNA WHOLE HEALTH | 1791_AETNA WHOLE HEALTH INPATIENT SCFL 20251001 | $148.49 | ↑ +47% |
| AETNA QUALIFIED HEALTH PLANS | 1573_AETNA QUALIFIED HEALTH PLANS (QHP) OUTPATIENT SCFL 20250101 | $148.49 | ↑ +47% |
| AETNA QUALIFIED HEALTH PLANS | 1789_AETNA QUALIFIED HEALTH PLANS (QHP) INPATIENT SCFL 20251001 | $148.49 | ↑ +47% |
| OSCAR HEALTH PLAN | 1806_OSCAR HEALTH PLAN INPATIENT 20251001 | $153.28 | ↑ +52% |
| OSCAR HEALTH PLAN | 1611_OSCAR HEALTH PLAN OUTPATIENT 20250401 | $153.28 | ↑ +52% |
| EMPLOYER DIRECT HEALTHCARE | 1743_EMPLOYER DIRECT HEALTHCARE OUTPATIENT 20250101 | $167.65 | ↑ +66% |
| EMPLOYER DIRECT HEALTHCARE | 1742_EMPLOYER DIRECT HEALTHCARE INPATIENT 20251001 | $167.65 | ↑ +66% |
| AVMED EXCHANGE | 1793_AVMED EXCHANGE INPATIENT 20251001 | $172.44 | ↑ +71% |
| 90 DEGREE BENEFITS | 1782_90 DEGREE BENEFITS INPATIENT 20251001 | $172.44 | ↑ +71% |
| AVMED EXCHANGE | 1720_AVMED EXCHANGE OUTPATIENT 20250201 | $172.44 | ↑ +71% |
| 90 DEGREE BENEFITS | 1577_90 DEGREE BENEFITS OUTPATIENT 20250101 | $172.44 | ↑ +71% |
| OCCUNET | 1578_MEDICARE ADVANTAGE OCCUNET OUTPATIENT 20250101 | $177.23 | ↑ +76% |
| MOLINA EXCHANGE | 1579_MOLINA EXCHANGE OUTPATIENT 20250101 | $177.23 | ↑ +76% |
| MOLINA EXCHANGE | 1805_MOLINA EXCHANGE INPATIENT 20251001 | $177.23 | ↑ +76% |
| AMBETTER COMMERCIAL-EXCHANGE | 1580_SUNSHINE AMBETTER EXCHANGE COMMERCIAL OUTPATIENT 20250101 | $182.02 | ↑ +80% |
| AMBETTER COMMERCIAL-EXCHANGE | 1785_SUNSHINE AMBETTER EXCHANGE COMMERCIAL INPATIENT 20251001 | $182.02 | ↑ +80% |
| AETNA NEW BUSINESS | 1783_AETNA NEW BUSINESS DISCOUNT INPATIENT SCFL 20251001 | $196.39 | ↑ +95% |
| AETNA NEW BUSINESS | 893_AETNA NEW BUSINESS DISCOUNT OUTPATIENT SCFL 20211015 | $196.39 | ↑ +95% |
| OCCUNET | 1780_MEDICARE ADVANTAGE OCCUNET INPATIENT 20251001 | $215.55 | ↑ +114% |
| HUMANA PPO | 1659_HUMANA PPO SCFL 20250101 | $239.50 | ↑ +137% |
| HUMANA HMO | 1657_HUMANA HMO SCFL 20250101 | $239.50 | ↑ +137% |
| AETNA | 1663_AETNA SCFL 20250701 | $266.00 | ↑ +164% |
Visitor-reported prices
Comments
Pt evaluation high complexity patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG | not published | $67.58 – $105.60 |
| Adventhealth Daytona Beach | Daytona Beach | $384.35 | $95.26 – $167.35 |
| Adventhealth Lake Wales | Lake Wales | $589.05 | $100.27 – $222.60 |
| Adventhealth Palm Coast Parkway | Palm Coast | $448.92 | not published |
| Adventhealth Tampa | Tampa | $750.11 | $100.27 – $222.60 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $667.18 | $95.26 – $219.04 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,109.00 | $67.58 – $101.38 |
| Adventhealth Port Charlotte | Port Charlotte | $845.68 | not published |