Smear gram stain at HCA FLORIDA FORT WALTON-DESTIN HOSPITAL
1809 GRANADA ST, NAVARRE, FL · HCA Florida Healthcare · · NPI 1639128820
not published by hospital
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.
not published by hospital
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.
$3.87 with Humana vs $95.02 with Careworks (Rockport Community) — 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 | TRICARE | $3.87 | — |
| TriWest Healthcare Alliance | FED | $4.18 | — |
| United | AllPayerAppendix | $4.27 | — |
| Veterans Evaluation Services | MCR | $4.27 | — |
| Humana | MGMCRHMO | $4.27 | — |
| Humana | MGMCRPPO | $4.27 | — |
| NDMS Definitive Care | MGMCR | $4.27 | — |
| Wellmed | MGMCR | $4.27 | — |
| United Behavioral Health | VACCN | $4.27 | — |
| United | VACCN | $4.27 | — |
| BCBS | MCRHMO | $4.36 | — |
| BCBS | MCRPPO | $4.36 | — |
| United | MCR | $4.36 | — |
| Aetna | MCR | $4.38 | — |
| Sunshine State | MCR | $4.48 | — |
| WellCare | MCR | $4.48 | — |
| American Health Plan | MCR | $4.53 | — |
| Healthspring of Florida | MGMGR | $4.57 | — |
| Align Senior Care | MGMCR | $4.57 | — |
| Florida Complete Care | MCR | $4.57 | — |
| Gold Kidney of Florida | MCR | $4.65 | — |
| Clear Spring Health | MCR | $4.70 | — |
| Centurion | GVT | $4.70 | — |
| Ultimate Health Plan | MCR | $4.91 | — |
| Longevity Health Plan | MCR | $5.12 | — |
| Oscar | HIX | $5.76 | — |
| Simply Healthcare | HIX | $6.66 | — |
| Simply | MGMCR | $6.68 | — |
| Molina Healthcare | MGMCR | $8.25 | — |
| United | OptionsPPO | $8.94 | — |
| AvMed | HMOFI | $10.42 | — |
| Sunshine State Health Plan | QHP | $11.07 | — |
| AvMed | ASOEO | $12.15 | — |
| Aetna | ASA | $13.02 | — |
| Molina Healthcare | HIX | $13.89 | — |
| Humana | PPO | $16.49 | — |
| Humana | HMO | $16.49 | — |
| United | GlobalBenefitPlan | $19.53 | — |
| Plotkin Health | COMM | $21.70 | — |
| AvMed | HIXOON | $21.70 | — |
| Prime Health Sheriff | WORKERSCOMP | $21.70 | — |
| Prime Health Sheriff | COMM | $21.70 | — |
| Naphcare | Prison | $28.21 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $28.21 | — |
| Multiplan | Primary | $33.85 | — |
| Evernorth | BHCOMM | $34.72 | — |
| PPO Next | COMM | $36.89 | — |
| PPO Next | PPO | $36.89 | — |
| Multiplan | Complementary | $36.89 | — |
| NovaNet | COMM | $39.06 | — |
| Evolutions Healthcare | TRADITIONALPPO | $39.06 | — |
| Beacon Health Options | MCR | $43.40 | — |
| CorVel Corporation | WORKERSCOMP | $90.27 | — |
| Prime Health | WC | $92.17 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $95.02 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Smear gram stain at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $135.31 | $4.06 – $7.13 |
| Adventhealth Lake Wales | Lake Wales | $354.83 | $4.27 – $9.48 |
| Adventhealth Palm Coast Parkway | Palm Coast | $132.83 | $4.06 – $9.12 |
| Adventhealth Tampa | Tampa | $180.77 | $4.27 – $9.48 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $107.32 | $4.06 – $9.33 |
| Adventhealth Port Charlotte | Port Charlotte | $32.01 | $4.27 – $7.80 |
| cleveland clinic florida weston hospital | Weston | $52.65 | $1.79 – $28.90 |
| martin north hospital | Stuart | $52.65 | $4.23 – $25.50 |