Oth resp proc, group at HCA FLORIDA SOUTH SHORE HOSPITAL
12145 Little River Way, PARRISH, FL · HCA Florida Healthcare · · NPI 1164476867
$508.20
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.
$508.20
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.
$12.35 with CorVel Corporation vs $467.54 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $12.35 | ↓ -98% |
| Rockport Healthcare Group | WORKERSCOMP | $12.35 | ↓ -98% |
| Prime Health | WorkersComp | $12.61 | ↓ -98% |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $23.89 | ↓ -95% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $36.59 | ↓ -93% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $36.59 | ↓ -93% |
| Optimum Healthcare | PFFS | $39.64 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $39.64 | ↓ -92% |
| Freedom Health Care | MGMGR | $39.64 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $39.64 | ↓ -92% |
| AvMed | HIX | $40.66 | ↓ -92% |
| Truli | BSL | $41.67 | ↓ -92% |
| BCBS | BSL | $41.67 | ↓ -92% |
| BCBS | MBN | $41.67 | ↓ -92% |
| BCBS | SBN | $41.67 | ↓ -92% |
| BCBS | HMO | $58.44 | ↓ -89% |
| Truli | PPO | $62.00 | ↓ -88% |
| BCBS | NWB | $64.54 | ↓ -87% |
| Simply Healthcare | HIX | $64.54 | ↓ -87% |
| BCBS | PPO | $64.54 | ↓ -87% |
| Oscar | HIX | $76.23 | ↓ -85% |
| Simply Healthcare | MGMCR | $78.26 | ↓ -85% |
| Aetna | QHP | $80.80 | ↓ -84% |
| United | OptionsPPO | $83.34 | ↓ -84% |
| Cigna | HMO | $91.48 | ↓ -82% |
| Cigna | PPO | $91.48 | ↓ -82% |
| Molina | MGMCR | $96.56 | ↓ -81% |
| BCBS | PHS | $106.21 | ↓ -79% |
| AvMed | HMOFI | $111.80 | ↓ -78% |
| Aetna | GatedCOMM | $114.85 | ↓ -77% |
| Aetna | NonGatedCOMM | $114.85 | ↓ -77% |
| Evolutions Healthcare Systems | PrimeTier1 | $116.89 | ↓ -77% |
| AvMed | ASOEO | $127.05 | ↓ -75% |
| Sunshine State Health Plan | QHP | $129.59 | ↓ -75% |
| Molina | HIX | $137.21 | ↓ -73% |
| Humana | PPO | $142.30 | ↓ -72% |
| Humana | HMO | $142.30 | ↓ -72% |
| Aetna | ASA | $152.46 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $228.69 | ↓ -55% |
| Prime Health Sheriff | COMM | $254.10 | ↓ -50% |
| Plotkin Health | COMM | $254.10 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $279.51 | ↓ -45% |
| Multiplan | PRIMARYPPO | $381.15 | ↓ -25% |
| Evolutions Healthcare Systems | SELECTNETWORK | $406.56 | ↓ -20% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $406.56 | ↓ -20% |
| Multiplan | COMPLEMENTARYPPO | $431.97 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $467.54 | ↓ -8% |
Visitor-reported prices
Comments
Oth resp proc, group at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $237.88 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $375.00 | $12.35 – $12.61 |
| Adventhealth Port Charlotte | Port Charlotte | $152.38 | $39.00 – $71.22 |
| cleveland clinic florida weston hospital | Weston | $127.40 | $10.77 – $166.60 |
| martin north hospital | Stuart | $127.40 | $9.63 – $98.00 |
| indian river hospital | Vero Beach | $127.40 | $11.52 – $156.80 |
| Bethesda Hospital East | BOYNTON BEACH | $105.30 | $21.76 – $145.80 |
| Boca Raton Regional Hospital | BOCA RATON | $87.10 | $38.30 – $134.00 |