Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes 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.
$11.67 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $228.52 with Evolutions Healthcare Systems — 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 | $11.67 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $17.88 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $17.88 | — |
| Optimum Healthcare | MCRPPO | $19.37 | — |
| Optimum Healthcare | PFFS | $19.37 | — |
| Freedom Health Care | MGMGR | $19.37 | — |
| Optimum Healthcare | MCRHMO | $19.37 | — |
| AvMed | HIX | $19.87 | — |
| Simply Healthcare | HIX | $31.55 | — |
| Oscar | HIX | $37.26 | — |
| Simply Healthcare | MGMCR | $38.25 | — |
| United | OptionsPPO | $40.74 | — |
| Aetna | MCR | $42.94 | — |
| Devoted Health | MCR | $42.94 | — |
| United | MGMCD | $42.94 | — |
| Sunshine State | MCR | $42.94 | — |
| NDMS Definitive Care | MCR | $42.94 | — |
| WellMed | MCR | $42.94 | — |
| United VA CCN | FED | $42.94 | — |
| Ultimate Health Plan | MCR | $43.79 | — |
| United | MCR | $43.79 | — |
| BCBS | MCRPPO | $43.79 | — |
| BCBS | MGMCRHMO | $43.79 | — |
| Cigna | HMO | $44.71 | — |
| Cigna | PPO | $44.71 | — |
| BayCare Health Plans | MCR | $45.08 | — |
| HUMANA | MGMCRPPO | $45.08 | — |
| WellCare | MCR | $45.08 | — |
| American Health Plan | MCR | $45.51 | — |
| Align Senior Care | MCR | $45.94 | — |
| Florida Complete Care | MCR | $45.94 | — |
| Cigna HealthSpring | MCR | $45.94 | — |
| SECUR | MGMCR | $46.37 | — |
| Humana | TRICARE | $46.78 | — |
| Gold Kidney of Florida | Medicare | $46.80 | — |
| Molina | MGMCR | $47.19 | — |
| HUMANA | MGMCRHMO | $47.23 | — |
| Clear Spring Health | MCR | $47.23 | — |
| Centurion | LOGOV | $47.23 | — |
| CareSource | Tricare | $48.23 | — |
| CarePlus | MGMCR | $48.95 | — |
| Longevity Health Plan | MCR | $51.52 | — |
| AvMed | HMOFI | $54.65 | — |
| Rockport Healthcare Group | WORKERSCOMP | $55.10 | — |
| CorVel Corporation | WORKERSCOMP | $55.10 | — |
| Prime Health | WorkersComp | $56.26 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $57.13 | — |
| AvMed | ASOEO | $62.10 | — |
| Solis Health Plan | MCR | $62.26 | — |
| Sunshine State Health Plan | QHP | $63.34 | — |
| Molina | HIX | $67.07 | — |
| Humana | PPO | $69.55 | — |
| Humana | HMO | $69.55 | — |
| Aetna | ASA | $74.52 | — |
| United | GlobalBenefitPlanAppendix | $111.78 | — |
| Prime Health Sheriff | COMM | $124.19 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $124.19 | — |
| Plotkin Health | COMM | $124.19 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $186.29 | — |
| Multiplan | PRIMARYPPO | $186.29 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $186.29 | — |
| Multiplan | COMPLEMENTARYPPO | $211.13 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $228.52 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $146.42 | $46.35 – $81.43 |
| Adventhealth Lake Wales | Lake Wales | $297.69 | $48.79 – $108.31 |
| Adventhealth Palm Coast Parkway | Palm Coast | $110.07 | not published |
| Adventhealth Tampa | Tampa | $314.28 | $48.79 – $108.31 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $178.70 | $46.35 – $106.58 |
| Adventhealth Port Charlotte | Port Charlotte | $414.84 | not published |
| cleveland clinic florida weston hospital | Weston | $260.00 | $20.97 – $340.00 |
| martin north hospital | Stuart | $260.00 | $22.07 – $200.00 |