Mayo factor v at HCA FLORIDA FORT WALTON-DESTIN HOSPITAL
1809 GRANADA ST, NAVARRE, FL · HCA Florida Healthcare · · NPI 1639128820
$183.20
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.
$183.20
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.
$8.74 with CorVel Corporation vs $183.20 with Beacon Health Options — 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $8.74 | ↓ -95% |
| Prime Health | WC | $8.92 | ↓ -95% |
| Careworks (Rockport Community) | WORKERSCOMP | $9.20 | ↓ -95% |
| Humana | TRICARE | $16.00 | ↓ -91% |
| TriWest Healthcare Alliance | FED | $17.30 | ↓ -91% |
| Humana | MGMCRPPO | $17.65 | ↓ -90% |
| NDMS Definitive Care | MGMCR | $17.65 | ↓ -90% |
| United | AllPayerAppendix | $17.65 | ↓ -90% |
| United | VACCN | $17.65 | ↓ -90% |
| Wellmed | MGMCR | $17.65 | ↓ -90% |
| Veterans Evaluation Services | MCR | $17.65 | ↓ -90% |
| Humana | MGMCRHMO | $17.65 | ↓ -90% |
| United Behavioral Health | VACCN | $17.65 | ↓ -90% |
| BCBS | MCRHMO | $18.00 | ↓ -90% |
| BCBS | MCRPPO | $18.00 | ↓ -90% |
| United | MCR | $18.00 | ↓ -90% |
| Aetna | MCR | $18.09 | ↓ -90% |
| WellCare | MCR | $18.53 | ↓ -90% |
| Sunshine State | MCR | $18.53 | ↓ -90% |
| American Health Plan | MCR | $18.71 | ↓ -90% |
| Healthspring of Florida | MGMGR | $18.89 | ↓ -90% |
| Align Senior Care | MGMCR | $18.89 | ↓ -90% |
| Florida Complete Care | MCR | $18.89 | ↓ -90% |
| Gold Kidney of Florida | MCR | $19.24 | ↓ -89% |
| Clear Spring Health | MCR | $19.41 | ↓ -89% |
| Centurion | GVT | $19.41 | ↓ -89% |
| Ultimate Health Plan | MCR | $20.30 | ↓ -89% |
| Longevity Health Plan | MCR | $21.18 | ↓ -88% |
| Oscar | HIX | $23.83 | ↓ -87% |
| Simply Healthcare | HIX | $27.53 | ↓ -85% |
| Simply | MGMCR | $28.21 | ↓ -85% |
| Molina Healthcare | MGMCR | $34.81 | ↓ -81% |
| United | OptionsPPO | $37.74 | ↓ -79% |
| AvMed | HMOFI | $43.97 | ↓ -76% |
| Sunshine State Health Plan | QHP | $46.72 | ↓ -74% |
| AvMed | ASOEO | $51.30 | ↓ -72% |
| Aetna | ASA | $54.96 | ↓ -70% |
| Molina Healthcare | HIX | $58.62 | ↓ -68% |
| Humana | HMO | $69.62 | ↓ -62% |
| Humana | PPO | $69.62 | ↓ -62% |
| United | GlobalBenefitPlan | $82.44 | ↓ -55% |
| AvMed | HIXOON | $91.60 | ↓ -50% |
| Prime Health Sheriff | COMM | $91.60 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $91.60 | ↓ -50% |
| Plotkin Health | COMM | $91.60 | ↓ -50% |
| Evolutions Healthcare | MANAGEDCAREPPO | $119.08 | ↓ -35% |
| Naphcare | Prison | $119.08 | ↓ -35% |
| Multiplan | Primary | $142.90 | ↓ -22% |
| Evernorth | BHCOMM | $146.56 | ↓ -20% |
| PPO Next | PPO | $155.72 | ↓ -15% |
| Multiplan | Complementary | $155.72 | ↓ -15% |
| PPO Next | COMM | $155.72 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $164.88 | ↓ -10% |
| NovaNet | COMM | $164.88 | ↓ -10% |
| Beacon Health Options | MCR | $183.20 | ↑ +0% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Mayo factor v at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $68.40 | $16.77 – $29.46 |
| Adventhealth Palm Coast Parkway | Palm Coast | $69.85 | $16.77 – $37.70 |
| Adventhealth Tampa | Tampa | $125.48 | $17.65 – $39.18 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $86.43 | $16.77 – $38.56 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $360.00 | $8.64 – $25.59 |
| Adventhealth Port Charlotte | Port Charlotte | $130.49 | $17.65 – $32.23 |
| cleveland clinic florida weston hospital | Weston | $52.65 | $2.12 – $68.00 |
| martin north hospital | Stuart | $52.65 | $2.23 – $60.00 |