Ot re-evaluation patient/family at Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.)
5151 N 9th Ave, Pensacola, FL · Ascension · · NPI 1922032424
$49.60
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.
$124.00
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.
$67.75 with BLUE MCR REPLACEMENT vs $239.00 with AETNA — 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 |
|---|---|---|---|
| BLUE MCR REPLACEMENT | 2433_MEDICARE ADVANTAGE BLUE OUTPATIENT PSH 20250101 | $67.75 | ↑ +37% |
| WELLCARE | 2493_MEDICARE ADVANTAGE WELLCARE OUTPATIENT PSH 20250101 | $67.75 | ↑ +37% |
| WELLCARE | 2605_MEDICARE ADVANTAGE WELLCARE INPATIENT PSH 20251001 | $67.75 | ↑ +37% |
| FACILITY BILLING - OP | 2595_FACILITY BILLING INPATIENT PSH 20251001 | $67.75 | ↑ +37% |
| FACILITY BILLING - OP | 1472_FACILITY BILLING OUTPATIENT PSH 20190101 | $67.75 | ↑ +37% |
| BLUE MCR REPLACEMENT | 2597_MEDICARE ADVANTAGE BLUE INPATIENT PSH 20251001 | $67.75 | ↑ +37% |
| MEDICARE ADVANTAGE | 2438_MEDICARE ADVANTAGE OUTPATIENT PSH 20250101 | $67.75 | ↑ +37% |
| MEDICARE ADVANTAGE | 2602_MEDICARE ADVANTAGE INPATIENT PSH 20251001 | $67.75 | ↑ +37% |
| UHC MEDICARE | 2615_UHC MEDICARE ADVANTAGE INPATIENT PSH 20251001 | $68.43 | ↑ +38% |
| HEALTHSPRING MCR REPLACEMENT | 2435_MEDICARE ADVANTAGE CIGNA HEALTHSPRING OUTPATIENT PSH 20250101 | $68.43 | ↑ +38% |
| UHC MEDICARE | 2548_UHC MEDICARE ADVANTAGE OUTPATIENT PSH 20250501 | $68.43 | ↑ +38% |
| HEALTHSPRING MCR REPLACEMENT | 2599_MEDICARE ADVANTAGE CIGNA HEALTHSPRING INPATIENT PSH 20251001 | $69.11 | ↑ +39% |
| AETNA MCR REPLACEMENT | 2429_AETNA MEDICARE ADVANTAGE OUTPATIENT PSH 20250101 | $69.78 | ↑ +41% |
| HUMANA GOLD CHOICE MCR REPLACEMENT | 2437_MEDICARE ADVANTAGE HUMANA GOLD OUTPATIENT PSH 20250101 | $69.78 | ↑ +41% |
| AETNA MCR REPLACEMENT | 2593_AETNA MEDICARE ADVANTAGE INPATIENT PSH 20251001 | $69.78 | ↑ +41% |
| HUMANA GOLD CHOICE MCR REPLACEMENT | 2601_MEDICARE ADVANTAGE HUMANA GOLD INPATIENT PSH 20251001 | $69.78 | ↑ +41% |
| SMARTHEALTH | 2442_SMARTHEALTH OUTPATIENT 20250101 | $94.85 | ↑ +91% |
| SMARTHEALTH | 2610_SMARTHEALTH INPATIENT 20251001 | $94.85 | ↑ +91% |
| MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $96.90 | ↑ +95% |
| OSCAR HEALTH PLAN | 2609_OSCAR HEALTH PLAN INPATIENT 20251001 | $108.40 | ↑ +119% |
| OSCAR HEALTH PLAN | 2456_OSCAR HEALTH PLAN OUTPATIENT 20250401 | $108.40 | ↑ +119% |
| AMBETTER COMMERCIAL-EXCHANGE | 2426_SUNSHINE HEALTH AMBETTER COMMERCIAL OUTPATIENT PSH 20250101 | $111.79 | ↑ +125% |
| AMBETTER COMMERCIAL-EXCHANGE | 2611_SUNSHINE HEALTH AMBETTER COMMERCIAL INPATIENT PSH 20251001 | $111.79 | ↑ +125% |
| OCCUNET | 2114_MEDICARE ADVANTAGE OCCUNET OUTPATIENT 20221201 | $125.34 | ↑ +153% |
| OCCUNET | 2603_MEDICARE ADVANTAGE OCCUNET INPATIENT 20251001 | $152.44 | ↑ +207% |
| AETNA | 2494_AETNA PSH 20250701 | $239.00 | ↑ +382% |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $241.42 | $65.75 – $115.51 |
| Adventhealth Lake Wales | Lake Wales | $444.81 | $69.21 – $153.65 |
| Adventhealth Palm Coast Parkway | Palm Coast | $262.48 | not published |
| Adventhealth Tampa | Tampa | $367.84 | $69.21 – $153.65 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $235.00 | $65.75 – $151.19 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $677.00 | $47.20 – $70.80 |
| Adventhealth Port Charlotte | Port Charlotte | $333.59 | not published |
| cleveland clinic florida weston hospital | Weston | $311.35 | $44.12 – $407.15 |