Kyleena, 19.5 mg at HCA FLORIDA FORT WALTON-DESTIN HOSPITAL
1809 GRANADA ST, NAVARRE, FL · HCA Florida Healthcare · · NPI 1639128820
$5,611.60
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.
$5,611.60
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.
$269.36 with BCBS vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| BCBS | MCRPPO | $269.36 | ↓ -95% |
| BCBS | MCRHMO | $270.48 | ↓ -95% |
| Aetna | MCR | $387.20 | ↓ -93% |
| BCBS | SBN | $617.28 | ↓ -89% |
| BCBS | BSL | $617.28 | ↓ -89% |
| BCBS | MBN | $617.28 | ↓ -89% |
| BCBS | NWB | $836.13 | ↓ -85% |
| BCBS | PPO | $836.13 | ↓ -85% |
| BCBS | HMO | $847.35 | ↓ -85% |
| Simply | MGMCR | $864.19 | ↓ -85% |
| United | OptionsPPO | $1,155.99 | ↓ -79% |
| BCBS | PHS | $1,453.40 | ↓ -74% |
| Aetna | ASA | $1,683.48 | ↓ -70% |
| Molina Healthcare | HIX | $1,795.71 | ↓ -68% |
| United | GlobalBenefitPlan | $2,525.22 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $2,805.80 | ↓ -50% |
| Prime Health Sheriff | COMM | $2,805.80 | ↓ -50% |
| Plotkin Health | COMM | $2,805.80 | ↓ -50% |
| AvMed | HIXOON | $2,805.80 | ↓ -50% |
| Evolutions Healthcare | MANAGEDCAREPPO | $3,647.54 | ↓ -35% |
| Naphcare | Prison | $3,647.54 | ↓ -35% |
| United | AllPayerAppendix | $4,046.36 | ↓ -28% |
| Multiplan | Primary | $4,377.05 | ↓ -22% |
| Evernorth | BHCOMM | $4,489.28 | ↓ -20% |
| PPO Next | COMM | $4,769.86 | ↓ -15% |
| PPO Next | PPO | $4,769.86 | ↓ -15% |
| Multiplan | Complementary | $4,769.86 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $5,050.44 | ↓ -10% |
| NovaNet | COMM | $5,050.44 | ↓ -10% |
| Beacon Health Options | MCR | $5,611.60 | ↑ +0% |
| American Health Plan | MCR | $15,000.00 | ↑ +167% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Kyleena, 19.5 mg at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $3,746.00 | $2,519.43 – $2,519.43 |
| cleveland clinic florida weston hospital | Weston | $2,152.80 | $273.36 – $3,312.00 |
| martin north hospital | Stuart | $2,152.80 | $287.75 – $3,312.00 |
| indian river hospital | Vero Beach | $1,894.83 | $273.36 – $2,332.10 |
| Baptist Hospital | MIAMI | $3,365.70 | $304.75 – $4,660.20 |
| Bethesda Hospital East | BOYNTON BEACH | $3,365.70 | $304.75 – $4,660.20 |
| Doctors Hospital | CORAL GABLES | $3,365.70 | $295.42 – $4,660.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $3,365.70 | $295.42 – $4,660.20 |