Cell function assay w/stim at HCA FLORIDA FORT WALTON-DESTIN HOSPITAL
1809 GRANADA ST, NAVARRE, FL · HCA Florida Healthcare · · NPI 1639128820
$146.75
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.
$146.75
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.
$22.60 with Simply vs $211.94 with Simply Healthcare — 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 |
|---|---|---|---|
| Simply | MGMCR | $22.60 | ↓ -85% |
| Molina Healthcare | MGMCR | $27.88 | ↓ -81% |
| United | OptionsPPO | $30.23 | ↓ -79% |
| AvMed | HMOFI | $35.22 | ↓ -76% |
| Sunshine State Health Plan | QHP | $37.42 | ↓ -75% |
| AvMed | ASOEO | $41.09 | ↓ -72% |
| Aetna | ASA | $44.02 | ↓ -70% |
| Molina Healthcare | HIX | $46.96 | ↓ -68% |
| Humana | HMO | $55.77 | ↓ -62% |
| Humana | PPO | $55.77 | ↓ -62% |
| United | GlobalBenefitPlan | $66.04 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $73.38 | ↓ -50% |
| Plotkin Health | COMM | $73.38 | ↓ -50% |
| AvMed | HIXOON | $73.38 | ↓ -50% |
| Prime Health Sheriff | COMM | $73.38 | ↓ -50% |
| CorVel Corporation | WORKERSCOMP | $87.35 | ↓ -40% |
| Prime Health | WC | $89.19 | ↓ -39% |
| Careworks (Rockport Community) | WORKERSCOMP | $91.95 | ↓ -37% |
| Evolutions Healthcare | MANAGEDCAREPPO | $95.39 | ↓ -35% |
| Naphcare | Prison | $95.39 | ↓ -35% |
| Multiplan | Primary | $114.47 | ↓ -22% |
| Evernorth | BHCOMM | $117.40 | ↓ -20% |
| Humana | TRICARE | $123.14 | ↓ -16% |
| PPO Next | PPO | $124.74 | ↓ -15% |
| Multiplan | Complementary | $124.74 | ↓ -15% |
| PPO Next | COMM | $124.74 | ↓ -15% |
| NovaNet | COMM | $132.07 | ↓ -10% |
| Evolutions Healthcare | TRADITIONALPPO | $132.07 | ↓ -10% |
| TriWest Healthcare Alliance | FED | $133.14 | ↓ -9% |
| United Behavioral Health | VACCN | $135.86 | ↓ -7% |
| Humana | MGMCRHMO | $135.86 | ↓ -7% |
| Humana | MGMCRPPO | $135.86 | ↓ -7% |
| United | VACCN | $135.86 | ↓ -7% |
| United | AllPayerAppendix | $135.86 | ↓ -7% |
| NDMS Definitive Care | MGMCR | $135.86 | ↓ -7% |
| Veterans Evaluation Services | MCR | $135.86 | ↓ -7% |
| Wellmed | MGMCR | $135.86 | ↓ -7% |
| BCBS | MCRHMO | $138.58 | ↓ -6% |
| United | MCR | $138.58 | ↓ -6% |
| BCBS | MCRPPO | $138.58 | ↓ -6% |
| Aetna | MCR | $139.26 | ↓ -5% |
| WellCare | MCR | $142.65 | ↓ -3% |
| Sunshine State | MCR | $142.65 | ↓ -3% |
| American Health Plan | MCR | $144.01 | ↓ -2% |
| Align Senior Care | MGMCR | $145.37 | ↓ -1% |
| Healthspring of Florida | MGMGR | $145.37 | ↓ -1% |
| Florida Complete Care | MCR | $145.37 | ↓ -1% |
| Beacon Health Options | MCR | $146.75 | ↑ +0% |
| Gold Kidney of Florida | MCR | $148.09 | ↑ +1% |
| Centurion | GVT | $149.45 | ↑ +2% |
| Clear Spring Health | MCR | $149.45 | ↑ +2% |
| Ultimate Health Plan | MCR | $156.24 | ↑ +6% |
| Longevity Health Plan | MCR | $163.03 | ↑ +11% |
| Oscar | HIX | $183.41 | ↑ +25% |
| Simply Healthcare | HIX | $211.94 | ↑ +44% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Cell function assay w/stim at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $398.20 | $129.07 – $290.18 |
| Adventhealth Tampa | Tampa | $2,097.00 | $135.86 – $301.61 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $301.84 | $129.07 – $296.79 |
| Adventhealth Port Charlotte | Port Charlotte | $475.51 | $135.86 – $248.08 |
| cleveland clinic florida weston hospital | Weston | $572.65 | $19.47 – $206.00 |
| martin north hospital | Stuart | $572.65 | $20.49 – $200.18 |
| indian river hospital | Vero Beach | $572.65 | $19.47 – $206.00 |
| Boca Raton Regional Hospital | BOCA RATON | $566.80 | $32.76 – $94.64 |