Advance care planning each additional 30 min 99498 at Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.)

205 Trinity Way, Saint Johns, FL · Ascension · · NPI 1861078651

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 7, 2026

not published by hospital

Cash price

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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

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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.

$172.98 with HUMANA HMO vs $172.98 with HUMANA PPO — 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.

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Payer
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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
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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
HUMANA HMO 1658_HUMANA HMO SIFL 20250101 $172.98
HUMANA PPO 1660_HUMANA PPO SIFL 20250101 $172.98
OCCUNET 1476_MEDICARE ADVANTAGE OCCUNET INPATIENT 20241001 not published by hospital

Visitor-reported prices

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Advance care planning each additional 30 min 99498 at other Florida hospitals

Hospital City Cash price Negotiated range
cleveland clinic florida weston hospital Weston $364.00 $20.66 – $560.00
martin north hospital Stuart $364.00 $66.40 – $560.00
indian river hospital Vero Beach $364.00 $50.26 – $560.00
HCA FLORIDA MEMORIAL HOSPITAL JACKSONVILLE not published $62.74 – $94.10
HCA FLORIDA BRANDON HOSPITAL TAMPA not published $78.42 – $113.71
HCA FLORIDA JFK HOSPITAL PALM BEACH GARDENS not published $76.91 – $117.39
Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) Jacksonville not published $172.98 – $172.98
Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) Jacksonville not published $172.98 – $172.98

All Florida hospitals for this procedure →