Breast reconstruction 19357 at HCA FLORIDA GULF COAST HOSPITAL
449 WEST 23RD STREET, PANAMA CITY, FL · HCA Florida Healthcare · · NPI 1699721589
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.
$3,824.97 with CorVel Corporation vs $54,447.00 with Cigna — 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $3,824.97 | — |
| Prime Health | WC | $3,905.49 | — |
| Molina Healthcare | MGMCR | $3,950.00 | — |
| Simply | MGMCR | $3,950.00 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $4,026.28 | — |
| Aetna | QHP | $5,112.00 | — |
| Molina Healthcare | HIX | $6,243.00 | — |
| Sunshine State Health Plan | QHP | $6,641.00 | — |
| Aetna | HMO | $7,671.00 | — |
| Aetna | PPO | $7,671.00 | — |
| Evolutions | COMM | $9,540.00 | — |
| United | AllPayerAppendix | $11,232.00 | — |
| Oscar | HIX | $12,517.00 | — |
| Simply Healthcare | HIX | $13,099.00 | — |
| BCBS | HMO | $18,413.00 | — |
| BCBS | BSL | $19,136.00 | — |
| BCBS | MBN | $19,136.00 | — |
| BCBS | SBN | $19,136.00 | — |
| AvMed | HMOFI | $20,942.00 | — |
| Cigna | NBN | $22,763.00 | — |
| AvMed | ASOEO | $23,005.00 | — |
| Humana | PPO | $25,630.00 | — |
| Humana | HMO | $25,630.00 | — |
| BCBS | NWB | $25,924.00 | — |
| BCBS | PPO | $25,924.00 | — |
| BCBS | PHS | $34,579.00 | — |
| Cigna | ManagedCareHMO | $54,447.00 | — |
| Cigna | PPO | $54,447.00 | — |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $4,244.50 | $833.32 – $18,162.68 |
| indian river hospital | Vero Beach | $4,244.50 | $833.32 – $18,162.68 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $13,671.60 – $24,018.84 |
| Adventhealth Tampa | Tampa | not published | $863.00 – $31,948.37 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,105.66 – $4,192.10 |
| martin north hospital | Stuart | not published | $4,867.98 – $18,337.32 |
| Baptist Hospital | MIAMI | not published | not published |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |