Consult comp w/report rfrd material at HCA FLORIDA ST. PETERSBURG HOSPITAL
6500 38TH AVENUE, NORTH, FL · HCA Florida Healthcare · · NPI 1518911031
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.
$10.00 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $284.64 with Prime Health — 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 |
|---|---|---|---|
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $10.00 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $15.33 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $15.33 | — |
| Optimum Healthcare | MCRPPO | $16.60 | — |
| Optimum Healthcare | MCRHMO | $16.60 | — |
| Freedom Health Care | MGMGR | $16.60 | — |
| Optimum Healthcare | PFFS | $16.60 | — |
| Suncoast Neighborly Care | MedicarePACE | $17.03 | — |
| AvMed | HIX | $17.03 | — |
| Simply Healthcare | HIX | $27.03 | — |
| Oscar | HIX | $31.93 | — |
| Simply Healthcare | MGMCR | $32.78 | — |
| United | OptionsPPO | $34.91 | — |
| Molina | MGMCR | $40.44 | — |
| AvMed | HMOFI | $46.83 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $48.96 | — |
| AvMed | ASOEO | $53.22 | — |
| Sunshine State Health Plan | QHP | $54.28 | — |
| Molina | HIX | $57.47 | — |
| Humana | PPO | $59.60 | — |
| Humana | HMO | $59.60 | — |
| Aetna | ASA | $63.86 | — |
| United | GlobalBenefitPlanAppendix | $95.79 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $106.43 | — |
| Plotkin Health | COMM | $106.43 | — |
| Prime Health Sheriff | COMM | $106.43 | — |
| United | AllPayerAppendix | $149.16 | — |
| Multiplan | PRIMARYPPO | $159.65 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $159.65 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $159.65 | — |
| Multiplan | COMPLEMENTARYPPO | $180.93 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $195.83 | — |
| Rockport Healthcare Group | WORKERSCOMP | $278.77 | — |
| CorVel Corporation | WORKERSCOMP | $278.77 | — |
| Prime Health | WorkersComp | $284.64 | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $718.66 | $169.02 – $296.94 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $298.31 | $169.02 – $388.65 |
| Adventhealth Port Charlotte | Port Charlotte | $996.14 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $796.90 | $56.79 – $613.00 |
| martin north hospital | Stuart | $187.85 | $49.47 – $216.75 |
| Baptist Hospital | MIAMI | $590.85 | $4.94 – $605.70 |
| Bethesda Hospital East | BOYNTON BEACH | $590.85 | $43.97 – $605.70 |
| Boca Raton Regional Hospital | BOCA RATON | $794.95 | $150.12 – $272.30 |