Calculus analysis qual at HCA FLORIDA CAPITAL HOSPITAL
3157 NORTH MONROE ST, TALLAHASSEE, FL · HCA Florida Healthcare · · NPI 1790732303
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.
$10.50 with Humana 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 |
|---|---|---|---|
| Humana | TRICARE | $10.50 | — |
| Humana | MGMCRPPO | $11.58 | — |
| United | AllPayerAppendix | $11.58 | — |
| Wellmed | MGMCR | $11.58 | — |
| Humana | MGMCRHMO | $11.58 | — |
| United Behavioral Health | VACCN | $11.58 | — |
| NDMS Definitive Care | MGMCR | $11.58 | — |
| United | VACCN | $11.58 | — |
| BCBS | MCRPPO | $11.81 | — |
| United | MCR | $11.81 | — |
| BCBS | MCRHMO | $11.81 | — |
| Aetna | MCR | $11.87 | — |
| Sunshine State | MCR | $12.16 | — |
| WellCare | MCR | $12.16 | — |
| American Health Plan | MCR | $12.27 | — |
| Cigna Healthspring | MCR | $12.39 | — |
| Align Senior Care | MGMCR | $12.39 | — |
| Florida Complete Care | MCR | $12.39 | — |
| Gold Kidney of Florida | MCR | $12.62 | — |
| Clear Spring Health | MCR | $12.74 | — |
| Centurion | GVT | $12.74 | — |
| Ultimate Health Plan | MCR | $13.32 | — |
| Longevity Health Plan | MCR | $13.90 | — |
| Gadsden County Jail | Prison | $14.47 | — |
| Physician Network Association | Prison | $15.05 | — |
| Oscar | HIX | $15.63 | — |
| Simply Healthcare | HIX | $18.06 | — |
| Naphcare | Prison | $19.69 | — |
| CorVel Corporation | WORKERSCOMP | $68.78 | — |
| Prime Health | WC | $70.23 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $72.40 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Calculus analysis qual at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $53.79 | $11.00 – $19.33 |
| Adventhealth Palm Coast Parkway | Palm Coast | $23.33 | $11.00 – $24.73 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $74.73 | $11.00 – $25.30 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $10.52 | $11.58 – $43.36 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $8.82 | $11.58 – $43.36 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $12.75 | $10.50 – $77.95 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $165.00 | $11.46 – $82.30 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $11.93 | $10.50 – $76.63 |