Consultation/report referred material w/preparation of slides at HCA FLORIDA CAPITAL HOSPITAL
3157 NORTH MONROE ST, TALLAHASSEE, FL · HCA Florida Healthcare · · NPI 1790732303
$552.15
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.
$552.15
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.
$49.76 with United vs $552.15 with Beacon Health Options — 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 |
|---|---|---|---|
| United | AllPayerAppendix | $49.76 | ↓ -91% |
| Oscar | HIX | $71.78 | ↓ -87% |
| Simply | MGMCR | $85.03 | ↓ -85% |
| Simply Healthcare | HIX | $92.21 | ↓ -83% |
| Molina Healthcare | MGMCR | $104.91 | ↓ -81% |
| Humana | HMO | $110.43 | ↓ -80% |
| Humana | PPO | $110.43 | ↓ -80% |
| United | OptionsPPO | $112.09 | ↓ -80% |
| AvMed | HMOFI | $132.52 | ↓ -76% |
| Sunshine State Health Plan | QHP | $140.80 | ↓ -74% |
| AvMed | ASOEO | $154.60 | ↓ -72% |
| Aetna | ASA | $165.65 | ↓ -70% |
| Molina Healthcare | HIX | $176.69 | ↓ -68% |
| United | GlobalBenefitPlan | $248.47 | ↓ -55% |
| CorVel Corporation | WORKERSCOMP | $255.48 | ↓ -54% |
| Prime Health | WC | $260.86 | ↓ -53% |
| Careworks (Rockport Community) | WORKERSCOMP | $268.93 | ↓ -51% |
| Plotkin Health | COMM | $276.07 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $276.07 | ↓ -50% |
| Prime Health Sheriff | COMM | $276.07 | ↓ -50% |
| AvMed | HIXOON | $276.07 | ↓ -50% |
| Multiplan | Primary | $430.68 | ↓ -22% |
| Evernorth | BHCOMM | $441.72 | ↓ -20% |
| Multiplan | Complementary | $469.33 | ↓ -15% |
| PPO Next | COMM | $469.33 | ↓ -15% |
| PPO Next | PPO | $469.33 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $469.33 | ↓ -15% |
| NovaNet | COMM | $496.94 | ↓ -10% |
| Beacon Health Options | MCR | $552.15 | ↑ +0% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
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Consultation/report referred material w/preparation of slides at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $247.40 | $51.70 – $90.82 |
| Adventhealth Lake Wales | Lake Wales | $156.18 | $54.42 – $120.81 |
| Adventhealth Palm Coast Parkway | Palm Coast | $184.29 | $51.70 – $116.23 |
| Adventhealth Tampa | Tampa | $691.67 | $54.42 – $120.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $513.39 | $51.70 – $118.88 |
| Adventhealth Port Charlotte | Port Charlotte | $368.07 | $54.42 – $99.37 |
| cleveland clinic florida weston hospital | Weston | $511.55 | $38.59 – $787.00 |
| martin north hospital | Stuart | $511.55 | $49.47 – $787.00 |