Pt evaluation low complexity patient/family 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.
$64.42 with Oscar vs $446.00 with NovaNet — 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 |
|---|---|---|---|
| Oscar | HIX | $64.42 | — |
| Simply Healthcare | HIX | $82.76 | — |
| TriWest Healthcare Alliance | FED | $82.79 | — |
| NDMS Definitive Care | MGMCR | $84.48 | — |
| Humana | MGMCRHMO | $84.48 | — |
| Humana | MGMCRPPO | $84.48 | — |
| United | VACCN | $84.48 | — |
| Veterans Evaluation Services | MCR | $84.48 | — |
| Wellmed | MGMCR | $84.48 | — |
| Hospice Big Bend | FED | $84.48 | — |
| United | MCR | $86.17 | — |
| BCBS | MCRPPO | $86.17 | — |
| BCBS | MCRHMO | $86.17 | — |
| Cigna | NBN | $86.23 | — |
| Aetna | MCR | $86.59 | — |
| WellCare | MCR | $88.70 | — |
| Sunshine State | MCR | $88.70 | — |
| American Health Plan | MCR | $89.55 | — |
| CorVel Corporation | WORKERSCOMP | $90.25 | — |
| Align Senior Care | MGMCR | $90.39 | — |
| Florida Complete Care | MCR | $90.39 | — |
| Healthspring of Florida | MGMGR | $90.39 | — |
| Gold Kidney of Florida | MCR | $92.08 | — |
| Prime Health | WC | $92.15 | — |
| Centurion | GVT | $92.93 | — |
| Humana | TRICARE | $92.93 | — |
| Clear Spring Health | MCR | $92.93 | — |
| Molina Healthcare | MGMCR | $94.15 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $95.00 | — |
| Ultimate Health Plan | MCR | $97.15 | — |
| Longevity Health Plan | MCR | $101.38 | — |
| AvMed | HMOFI | $118.93 | — |
| United | OptionsPPO | $120.42 | — |
| Sunshine State Health Plan | QHP | $126.37 | — |
| AvMed | ASOEO | $138.75 | — |
| Aetna | ASA | $148.66 | — |
| Molina Healthcare | HIX | $158.58 | — |
| Humana | HMO | $188.31 | — |
| Humana | PPO | $188.31 | — |
| Cigna | PPO | $205.65 | — |
| Cigna | ManagedCareHMO | $205.65 | — |
| United | GlobalBenefitPlan | $223.00 | — |
| Plotkin Health | COMM | $247.78 | — |
| Prime Health Sheriff | COMM | $247.78 | — |
| Prime Health Sheriff | WORKERSCOMP | $247.78 | — |
| AvMed | HIXOON | $247.78 | — |
| Multiplan | Primary | $386.53 | — |
| PPO Next | COMM | $421.22 | — |
| PPO Next | PPO | $421.22 | — |
| Multiplan | Complementary | $421.22 | — |
| NovaNet | COMM | $446.00 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Pt evaluation low complexity patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $149.20 | $95.80 – $317.05 |
| Adventhealth Daytona Beach | Daytona Beach | $384.35 | $93.79 – $164.78 |
| Adventhealth Lake Wales | Lake Wales | $589.05 | $98.73 – $219.18 |
| Adventhealth Palm Coast Parkway | Palm Coast | $448.92 | not published |
| Adventhealth Tampa | Tampa | $579.30 | $98.73 – $219.18 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $296.52 | $93.79 – $215.68 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $692.00 | $67.58 – $101.38 |
| Adventhealth Port Charlotte | Port Charlotte | $494.86 | not published |