Ot evaluation high complexity patient/family at HCA FLORIDA PASADENA HOSPITAL
1501 Pasadena Ave S, South Pasadena, FL · HCA Florida Healthcare · · NPI 1437591708
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.
$18.11 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $354.54 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 |
|---|---|---|---|
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $18.11 | — |
| BCBS | MGMCRHMO | $18.50 | — |
| Aetna | MCR | $26.59 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $27.75 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $27.75 | — |
| Optimum Healthcare | MCRPPO | $30.06 | — |
| Optimum Healthcare | MCRHMO | $30.06 | — |
| Optimum Healthcare | PFFS | $30.06 | — |
| Freedom Health Care | MGMGR | $30.06 | — |
| AvMed | HIX | $30.83 | — |
| Simply Healthcare | HIX | $48.94 | — |
| Oscar | HIX | $57.81 | — |
| Simply Healthcare | MGMCR | $59.35 | — |
| United | OptionsPPO | $63.20 | — |
| Cigna | PPO | $69.37 | — |
| Cigna | HMO | $69.37 | — |
| Molina | MGMCR | $73.22 | — |
| AvMed | HMOFI | $84.78 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $88.64 | — |
| Rockport Healthcare Group | WORKERSCOMP | $95.00 | — |
| CorVel Corporation | WORKERSCOMP | $95.00 | — |
| Humana | TRICARE | $95.28 | — |
| AvMed | ASOEO | $96.34 | — |
| Prime Health | WorkersComp | $97.00 | — |
| Sunshine State Health Plan | QHP | $98.27 | — |
| Molina | HIX | $104.05 | — |
| Humana | HMO | $107.90 | — |
| Humana | PPO | $107.90 | — |
| Aetna | ASA | $115.61 | — |
| United | GlobalBenefitPlanAppendix | $173.42 | — |
| Prime Health Sheriff | COMM | $192.69 | — |
| Plotkin Health | COMM | $192.69 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $192.69 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $289.03 | — |
| Multiplan | PRIMARYPPO | $289.03 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $289.03 | — |
| Multiplan | COMPLEMENTARYPPO | $327.56 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $354.54 | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
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Ot evaluation high complexity patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $369.90 | $93.63 – $164.50 |
| Adventhealth Lake Wales | Lake Wales | $758.39 | $98.56 – $218.80 |
| Adventhealth Palm Coast Parkway | Palm Coast | $474.36 | not published |
| Adventhealth Tampa | Tampa | $846.31 | $98.56 – $218.80 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $562.30 | $93.63 – $215.30 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,109.00 | $69.39 – $104.08 |
| Adventhealth Port Charlotte | Port Charlotte | $906.00 | not published |
| cleveland clinic florida weston hospital | Weston | $547.95 | $66.98 – $716.55 |