Pt evaluation moderate complexity patient/family at HCA FLORIDA CAPITAL HOSPITAL
3157 NORTH MONROE ST, TALLAHASSEE, FL · HCA Florida Healthcare · · NPI 1790732303
$1,144.25
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.
$1,144.25
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.
$84.48 with NDMS Definitive Care vs $1,144.25 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 |
|---|---|---|---|
| NDMS Definitive Care | MGMCR | $84.48 | ↓ -93% |
| Humana | MGMCRHMO | $84.48 | ↓ -93% |
| Humana | MGMCRPPO | $84.48 | ↓ -93% |
| United | VACCN | $84.48 | ↓ -93% |
| United Behavioral Health | VACCN | $84.48 | ↓ -93% |
| Wellmed | MGMCR | $84.48 | ↓ -93% |
| BCBS | MCRHMO | $86.17 | ↓ -92% |
| BCBS | MCRPPO | $86.17 | ↓ -92% |
| United | MCR | $86.17 | ↓ -92% |
| Aetna | MCR | $86.59 | ↓ -92% |
| Sunshine State | MCR | $88.70 | ↓ -92% |
| WellCare | MCR | $88.70 | ↓ -92% |
| American Health Plan | MCR | $89.55 | ↓ -92% |
| CorVel Corporation | WORKERSCOMP | $90.25 | ↓ -92% |
| Align Senior Care | MGMCR | $90.39 | ↓ -92% |
| Cigna Healthspring | MCR | $90.39 | ↓ -92% |
| Florida Complete Care | MCR | $90.39 | ↓ -92% |
| Gold Kidney of Florida | MCR | $92.08 | ↓ -92% |
| Prime Health | WC | $92.15 | ↓ -92% |
| Clear Spring Health | MCR | $92.93 | ↓ -92% |
| Humana | TRICARE | $92.93 | ↓ -92% |
| Centurion | GVT | $92.93 | ↓ -92% |
| Careworks (Rockport Community) | WORKERSCOMP | $95.00 | ↓ -92% |
| Ultimate Health Plan | MCR | $97.15 | ↓ -92% |
| Longevity Health Plan | MCR | $101.38 | ↓ -91% |
| Gadsden County Jail | Prison | $105.60 | ↓ -91% |
| Physician Network Association | Prison | $109.82 | ↓ -90% |
| Naphcare | Prison | $143.62 | ↓ -87% |
| Oscar | HIX | $148.75 | ↓ -87% |
| Simply Healthcare | HIX | $191.09 | ↓ -83% |
| Cigna | NBN | $199.10 | ↓ -83% |
| Molina Healthcare | MGMCR | $217.41 | ↓ -81% |
| Humana | PPO | $228.85 | ↓ -80% |
| Humana | HMO | $228.85 | ↓ -80% |
| United | OptionsPPO | $232.28 | ↓ -80% |
| AvMed | HMOFI | $274.62 | ↓ -76% |
| Sunshine State Health Plan | QHP | $291.78 | ↓ -75% |
| AvMed | ASOEO | $320.39 | ↓ -72% |
| Aetna | ASA | $343.27 | ↓ -70% |
| Molina Healthcare | HIX | $366.16 | ↓ -68% |
| Cigna | PPO | $474.86 | ↓ -59% |
| Cigna | ManagedCareHMO | $474.86 | ↓ -59% |
| United | GlobalBenefitPlan | $514.91 | ↓ -55% |
| Prime Health Sheriff | COMM | $572.13 | ↓ -50% |
| AvMed | HIXOON | $572.13 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $572.13 | ↓ -50% |
| Plotkin Health | COMM | $572.13 | ↓ -50% |
| Multiplan | Primary | $892.51 | ↓ -22% |
| Evernorth | BHCOMM | $915.40 | ↓ -20% |
| PPO Next | PPO | $972.61 | ↓ -15% |
| PPO Next | COMM | $972.61 | ↓ -15% |
| Multiplan | Complementary | $972.61 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $972.61 | ↓ -15% |
| NovaNet | COMM | $1,029.83 | ↓ -10% |
| Beacon Health Options | MCR | $1,144.25 | ↑ +0% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $384.35 | $91.20 – $160.22 |
| Adventhealth Lake Wales | Lake Wales | $589.05 | $96.00 – $213.12 |
| Adventhealth Palm Coast Parkway | Palm Coast | $448.92 | not published |
| Adventhealth Tampa | Tampa | $660.51 | $96.00 – $213.12 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $444.78 | $91.20 – $209.71 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $900.00 | $67.58 – $101.38 |
| Adventhealth Port Charlotte | Port Charlotte | $765.67 | not published |
| cleveland clinic florida weston hospital | Weston | $491.40 | $68.99 – $642.60 |