Tomosynthesis breast screen bilateral at HCA FLORIDA FORT WALTON-DESTIN HOSPITAL
1809 GRANADA ST, NAVARRE, FL · HCA Florida Healthcare · · NPI 1639128820
$368.25
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.
$368.25
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.
$21.23 with Humana vs $368.25 with Beacon Health Options — 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 | $21.23 | ↓ -94% |
| TriWest Healthcare Alliance | FED | $21.90 | ↓ -94% |
| United | VACCN | $22.35 | ↓ -94% |
| Veterans Evaluation Services | MCR | $22.35 | ↓ -94% |
| Humana | MGMCRHMO | $22.35 | ↓ -94% |
| Humana | MGMCRPPO | $22.35 | ↓ -94% |
| NDMS Definitive Care | MGMCR | $22.35 | ↓ -94% |
| Wellmed | MGMCR | $22.35 | ↓ -94% |
| United Behavioral Health | VACCN | $22.35 | ↓ -94% |
| BCBS | MCRPPO | $22.80 | ↓ -94% |
| BCBS | MCRHMO | $22.80 | ↓ -94% |
| United | MCR | $22.80 | ↓ -94% |
| Aetna | MCR | $22.91 | ↓ -94% |
| WellCare | MCR | $23.47 | ↓ -94% |
| Sunshine State | MCR | $23.47 | ↓ -94% |
| American Health Plan | MCR | $23.69 | ↓ -94% |
| Healthspring of Florida | MGMGR | $23.91 | ↓ -94% |
| Align Senior Care | MGMCR | $23.91 | ↓ -94% |
| Florida Complete Care | MCR | $23.91 | ↓ -94% |
| Gold Kidney of Florida | MCR | $24.36 | ↓ -93% |
| Clear Spring Health | MCR | $24.59 | ↓ -93% |
| Centurion | GVT | $24.59 | ↓ -93% |
| Ultimate Health Plan | MCR | $25.70 | ↓ -93% |
| Longevity Health Plan | MCR | $26.82 | ↓ -93% |
| Simply | MGMCR | $56.71 | ↓ -85% |
| United | AllPayerAppendix | $57.31 | ↓ -84% |
| Molina Healthcare | MGMCR | $69.97 | ↓ -81% |
| United | OptionsPPO | $75.86 | ↓ -79% |
| AvMed | HMOFI | $88.38 | ↓ -76% |
| Sunshine State Health Plan | QHP | $93.90 | ↓ -75% |
| AvMed | ASOEO | $103.11 | ↓ -72% |
| Aetna | ASA | $110.47 | ↓ -70% |
| Molina Healthcare | HIX | $117.84 | ↓ -68% |
| Humana | PPO | $139.94 | ↓ -62% |
| Humana | HMO | $139.94 | ↓ -62% |
| United | GlobalBenefitPlan | $165.71 | ↓ -55% |
| Plotkin Health | COMM | $184.13 | ↓ -50% |
| AvMed | HIXOON | $184.13 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $184.13 | ↓ -50% |
| Prime Health Sheriff | COMM | $184.13 | ↓ -50% |
| Naphcare | Prison | $239.36 | ↓ -35% |
| Evolutions Healthcare | MANAGEDCAREPPO | $239.36 | ↓ -35% |
| Multiplan | Primary | $287.24 | ↓ -22% |
| Evernorth | BHCOMM | $294.60 | ↓ -20% |
| PPO Next | PPO | $313.01 | ↓ -15% |
| PPO Next | COMM | $313.01 | ↓ -15% |
| Multiplan | Complementary | $313.01 | ↓ -15% |
| NovaNet | COMM | $331.43 | ↓ -10% |
| Evolutions Healthcare | TRADITIONALPPO | $331.43 | ↓ -10% |
| Beacon Health Options | MCR | $368.25 | ↑ +0% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $103.18 | $22.50 – $39.52 |
| Adventhealth Lake Wales | Lake Wales | $316.07 | $23.68 – $53.68 |
| Adventhealth Palm Coast Parkway | Palm Coast | $103.18 | $22.50 – $63.90 |
| Adventhealth Tampa | Tampa | $218.99 | $23.68 – $52.57 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $113.01 | $22.50 – $51.73 |
| Adventhealth Port Charlotte | Port Charlotte | $281.60 | $23.68 – $43.24 |
| cleveland clinic florida weston hospital | Weston | $269.75 | $23.24 – $175.00 |
| martin north hospital | Stuart | $247.00 | $23.80 – $175.00 |