Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at HCA FLORIDA CAPITAL HOSPITAL
3157 NORTH MONROE ST, TALLAHASSEE, FL · HCA Florida Healthcare · · NPI 1790732303
$312.25
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.
$312.25
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.
$40.59 with Oscar vs $312.25 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 |
|---|---|---|---|
| Oscar | HIX | $40.59 | ↓ -87% |
| United Behavioral Health | VACCN | $42.94 | ↓ -86% |
| Humana | MGMCRHMO | $42.94 | ↓ -86% |
| Humana | MGMCRPPO | $42.94 | ↓ -86% |
| NDMS Definitive Care | MGMCR | $42.94 | ↓ -86% |
| Wellmed | MGMCR | $42.94 | ↓ -86% |
| United | VACCN | $42.94 | ↓ -86% |
| United | MCR | $43.79 | ↓ -86% |
| BCBS | MCRHMO | $43.79 | ↓ -86% |
| BCBS | MCRPPO | $43.79 | ↓ -86% |
| Aetna | MCR | $44.01 | ↓ -86% |
| WellCare | MCR | $45.08 | ↓ -86% |
| Sunshine State | MCR | $45.08 | ↓ -86% |
| American Health Plan | MCR | $45.51 | ↓ -85% |
| Align Senior Care | MGMCR | $45.94 | ↓ -85% |
| Florida Complete Care | MCR | $45.94 | ↓ -85% |
| Cigna Healthspring | MCR | $45.94 | ↓ -85% |
| Humana | TRICARE | $46.78 | ↓ -85% |
| Gold Kidney of Florida | MCR | $46.80 | ↓ -85% |
| Centurion | GVT | $47.23 | ↓ -85% |
| Clear Spring Health | MCR | $47.23 | ↓ -85% |
| Ultimate Health Plan | MCR | $49.38 | ↓ -84% |
| Longevity Health Plan | MCR | $51.52 | ↓ -84% |
| Simply Healthcare | HIX | $52.15 | ↓ -83% |
| Gadsden County Jail | Prison | $53.67 | ↓ -83% |
| Cigna | NBN | $54.33 | ↓ -83% |
| CorVel Corporation | WORKERSCOMP | $55.10 | ↓ -82% |
| Physician Network Association | Prison | $55.82 | ↓ -82% |
| Prime Health | WC | $56.26 | ↓ -82% |
| Careworks (Rockport Community) | WORKERSCOMP | $58.00 | ↓ -81% |
| Molina Healthcare | MGMCR | $59.33 | ↓ -81% |
| Humana | HMO | $62.45 | ↓ -80% |
| Humana | PPO | $62.45 | ↓ -80% |
| United | OptionsPPO | $63.39 | ↓ -80% |
| Naphcare | Prison | $72.99 | ↓ -77% |
| AvMed | HMOFI | $74.94 | ↓ -76% |
| Sunshine State Health Plan | QHP | $79.62 | ↓ -75% |
| AvMed | ASOEO | $87.43 | ↓ -72% |
| Aetna | ASA | $93.67 | ↓ -70% |
| Molina Healthcare | HIX | $99.92 | ↓ -68% |
| Cigna | PPO | $129.58 | ↓ -59% |
| Cigna | ManagedCareHMO | $129.58 | ↓ -59% |
| United | GlobalBenefitPlan | $140.51 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $156.13 | ↓ -50% |
| Plotkin Health | COMM | $156.13 | ↓ -50% |
| AvMed | HIXOON | $156.13 | ↓ -50% |
| Prime Health Sheriff | COMM | $156.13 | ↓ -50% |
| Multiplan | Primary | $243.56 | ↓ -22% |
| Evernorth | BHCOMM | $249.80 | ↓ -20% |
| Multiplan | Complementary | $265.41 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $265.41 | ↓ -15% |
| PPO Next | PPO | $265.41 | ↓ -15% |
| PPO Next | COMM | $265.41 | ↓ -15% |
| NovaNet | COMM | $281.02 | ↓ -10% |
| Beacon Health Options | MCR | $312.25 | ↑ +0% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $146.42 | $46.35 – $81.43 |
| Adventhealth Lake Wales | Lake Wales | $297.69 | $48.79 – $108.31 |
| Adventhealth Palm Coast Parkway | Palm Coast | $110.07 | not published |
| Adventhealth Tampa | Tampa | $314.28 | $48.79 – $108.31 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $178.70 | $46.35 – $106.58 |
| Adventhealth Port Charlotte | Port Charlotte | $414.84 | not published |
| cleveland clinic florida weston hospital | Weston | $260.00 | $20.97 – $340.00 |
| martin north hospital | Stuart | $260.00 | $22.07 – $200.00 |