Calculi urinary-sendout at HCA FLORIDA CAPITAL HOSPITAL
3157 NORTH MONROE ST, TALLAHASSEE, FL · HCA Florida Healthcare · · NPI 1790732303
$35.90
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.
$35.90
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.
$5.53 with Simply vs $72.40 with Careworks (Rockport Community) — 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 |
|---|---|---|---|
| Simply | MGMCR | $5.53 | ↓ -85% |
| Molina Healthcare | MGMCR | $6.82 | ↓ -81% |
| Humana | HMO | $7.18 | ↓ -80% |
| Humana | PPO | $7.18 | ↓ -80% |
| United | OptionsPPO | $7.29 | ↓ -80% |
| AvMed | HMOFI | $8.62 | ↓ -76% |
| Sunshine State Health Plan | QHP | $9.15 | ↓ -75% |
| AvMed | ASOEO | $10.05 | ↓ -72% |
| Aetna | ASA | $10.77 | ↓ -70% |
| Molina Healthcare | HIX | $11.49 | ↓ -68% |
| Humana | TRICARE | $11.67 | ↓ -67% |
| United | AllPayerAppendix | $12.87 | ↓ -64% |
| United | VACCN | $12.87 | ↓ -64% |
| United Behavioral Health | VACCN | $12.87 | ↓ -64% |
| Wellmed | MGMCR | $12.87 | ↓ -64% |
| Humana | MGMCRPPO | $12.87 | ↓ -64% |
| NDMS Definitive Care | MGMCR | $12.87 | ↓ -64% |
| Humana | MGMCRHMO | $12.87 | ↓ -64% |
| BCBS | MCRPPO | $13.13 | ↓ -63% |
| United | MCR | $13.13 | ↓ -63% |
| BCBS | MCRHMO | $13.13 | ↓ -63% |
| Aetna | MCR | $13.19 | ↓ -63% |
| Sunshine State | MCR | $13.51 | ↓ -62% |
| WellCare | MCR | $13.51 | ↓ -62% |
| American Health Plan | MCR | $13.64 | ↓ -62% |
| Florida Complete Care | MCR | $13.77 | ↓ -62% |
| Align Senior Care | MGMCR | $13.77 | ↓ -62% |
| Cigna Healthspring | MCR | $13.77 | ↓ -62% |
| Gold Kidney of Florida | MCR | $14.03 | ↓ -61% |
| Clear Spring Health | MCR | $14.16 | ↓ -61% |
| Centurion | GVT | $14.16 | ↓ -61% |
| Ultimate Health Plan | MCR | $14.80 | ↓ -59% |
| Longevity Health Plan | MCR | $15.44 | ↓ -57% |
| Gadsden County Jail | Prison | $16.09 | ↓ -55% |
| United | GlobalBenefitPlan | $16.16 | ↓ -55% |
| Physician Network Association | Prison | $16.73 | ↓ -53% |
| Oscar | HIX | $17.37 | ↓ -52% |
| AvMed | HIXOON | $17.95 | ↓ -50% |
| Plotkin Health | COMM | $17.95 | ↓ -50% |
| Prime Health Sheriff | COMM | $17.95 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $17.95 | ↓ -50% |
| Simply Healthcare | HIX | $20.08 | ↓ -44% |
| Naphcare | Prison | $21.88 | ↓ -39% |
| Multiplan | Primary | $28.00 | ↓ -22% |
| Evernorth | BHCOMM | $28.72 | ↓ -20% |
| Multiplan | Complementary | $30.52 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $30.52 | ↓ -15% |
| PPO Next | COMM | $30.52 | ↓ -15% |
| PPO Next | PPO | $30.52 | ↓ -15% |
| NovaNet | COMM | $32.31 | ↓ -10% |
| Beacon Health Options | MCR | $35.90 | ↑ +0% |
| CorVel Corporation | WORKERSCOMP | $68.78 | ↑ +92% |
| Prime Health | WC | $70.23 | ↑ +96% |
| Careworks (Rockport Community) | WORKERSCOMP | $72.40 | ↑ +102% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Calculi urinary-sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $198.65 | $12.87 – $28.57 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $15.00 | $10.30 – $75.49 |
| Adventhealth Port Charlotte | Port Charlotte | $85.70 | $12.87 – $23.50 |
| Baptist Hospital | MIAMI | $57.20 | $4.86 – $79.20 |
| Bethesda Hospital East | BOYNTON BEACH | $57.20 | $6.32 – $79.20 |
| Boca Raton Regional Hospital | BOCA RATON | $23.40 | $12.87 – $23.51 |
| Doctors Hospital | CORAL GABLES | $57.20 | $6.12 – $79.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $57.20 | $6.12 – $79.20 |