Adapt behavior tx phys/qhp at Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.)
5151 N 9th Ave, Pensacola, FL · Ascension · · NPI 1922032424
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.
$161.28 with WELLCARE vs $362.88 with OCCUNET — 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 |
|---|---|---|---|
| WELLCARE | 2493_MEDICARE ADVANTAGE WELLCARE OUTPATIENT PSH 20250101 | $161.28 | — |
| WELLCARE | 2605_MEDICARE ADVANTAGE WELLCARE INPATIENT PSH 20251001 | $161.28 | — |
| MEDICARE ADVANTAGE | 2438_MEDICARE ADVANTAGE OUTPATIENT PSH 20250101 | $161.28 | — |
| MEDICARE ADVANTAGE | 2602_MEDICARE ADVANTAGE INPATIENT PSH 20251001 | $161.28 | — |
| BLUE MCR REPLACEMENT | 2433_MEDICARE ADVANTAGE BLUE OUTPATIENT PSH 20250101 | $161.28 | — |
| BLUE MCR REPLACEMENT | 2597_MEDICARE ADVANTAGE BLUE INPATIENT PSH 20251001 | $161.28 | — |
| FACILITY BILLING - OP | 1472_FACILITY BILLING OUTPATIENT PSH 20190101 | $161.28 | — |
| FACILITY BILLING - OP | 2595_FACILITY BILLING INPATIENT PSH 20251001 | $161.28 | — |
| UHC MEDICARE | 2548_UHC MEDICARE ADVANTAGE OUTPATIENT PSH 20250501 | $162.89 | — |
| HEALTHSPRING MCR REPLACEMENT | 2435_MEDICARE ADVANTAGE CIGNA HEALTHSPRING OUTPATIENT PSH 20250101 | $162.89 | — |
| UHC MEDICARE | 2615_UHC MEDICARE ADVANTAGE INPATIENT PSH 20251001 | $162.89 | — |
| HEALTHSPRING MCR REPLACEMENT | 2599_MEDICARE ADVANTAGE CIGNA HEALTHSPRING INPATIENT PSH 20251001 | $164.51 | — |
| AETNA MCR REPLACEMENT | 2429_AETNA MEDICARE ADVANTAGE OUTPATIENT PSH 20250101 | $166.12 | — |
| HUMANA GOLD CHOICE MCR REPLACEMENT | 2437_MEDICARE ADVANTAGE HUMANA GOLD OUTPATIENT PSH 20250101 | $166.12 | — |
| HUMANA GOLD CHOICE MCR REPLACEMENT | 2601_MEDICARE ADVANTAGE HUMANA GOLD INPATIENT PSH 20251001 | $166.12 | — |
| AETNA MCR REPLACEMENT | 2593_AETNA MEDICARE ADVANTAGE INPATIENT PSH 20251001 | $166.12 | — |
| SMARTHEALTH | 2610_SMARTHEALTH INPATIENT 20251001 | $225.79 | — |
| SMARTHEALTH | 2442_SMARTHEALTH OUTPATIENT 20250101 | $225.79 | — |
| AETNA | 2494_AETNA PSH 20250701 | $239.00 | — |
| OSCAR HEALTH PLAN | 2456_OSCAR HEALTH PLAN OUTPATIENT 20250401 | $258.05 | — |
| OSCAR HEALTH PLAN | 2609_OSCAR HEALTH PLAN INPATIENT 20251001 | $258.05 | — |
| AMBETTER COMMERCIAL-EXCHANGE | 2611_SUNSHINE HEALTH AMBETTER COMMERCIAL INPATIENT PSH 20251001 | $266.11 | — |
| AMBETTER COMMERCIAL-EXCHANGE | 2426_SUNSHINE HEALTH AMBETTER COMMERCIAL OUTPATIENT PSH 20250101 | $266.11 | — |
| OCCUNET | 2114_MEDICARE ADVANTAGE OCCUNET OUTPATIENT 20221201 | $298.37 | — |
| OCCUNET | 2603_MEDICARE ADVANTAGE OCCUNET INPATIENT 20251001 | $362.88 | — |
Visitor-reported prices
Comments
Adapt behavior tx phys/qhp at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $600.60 | $58.06 – $785.40 |
| AdventHealth Orlando | Orlando | $543.00 | $185.35 – $491.19 |
| Adventhealth Carrollwood | Tampa | $926.54 | not published |
| martin north hospital | Stuart | not published | $87.13 – $203.89 |
| indian river hospital | Vero Beach | not published | $82.77 – $203.89 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $80.93 – $330.62 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | not published | $172.73 – $319.55 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | not published | $161.28 – $298.37 |