St analysis behavior qualitative voice/resonance 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.
$82.76 with Oscar vs $636.60 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 | $82.76 | — |
| CorVel Corporation | WORKERSCOMP | $95.95 | — |
| Prime Health | WC | $97.97 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $101.00 | — |
| Humana | TRICARE | $101.76 | — |
| Simply Healthcare | HIX | $106.31 | — |
| NDMS Definitive Care | MGMCR | $108.10 | — |
| Wellmed | MGMCR | $108.10 | — |
| Humana | MGMCRHMO | $108.10 | — |
| Humana | MGMCRPPO | $108.10 | — |
| United | VACCN | $108.10 | — |
| United Behavioral Health | VACCN | $108.10 | — |
| BCBS | MCRHMO | $110.26 | — |
| United | MCR | $110.26 | — |
| BCBS | MCRPPO | $110.26 | — |
| Cigna | NBN | $110.77 | — |
| Aetna | MCR | $110.80 | — |
| Sunshine State | MCR | $113.50 | — |
| WellCare | MCR | $113.50 | — |
| American Health Plan | MCR | $114.59 | — |
| Cigna Healthspring | MCR | $115.67 | — |
| Align Senior Care | MGMCR | $115.67 | — |
| Florida Complete Care | MCR | $115.67 | — |
| Gold Kidney of Florida | MCR | $117.83 | — |
| Clear Spring Health | MCR | $118.91 | — |
| Centurion | GVT | $118.91 | — |
| Molina Healthcare | MGMCR | $120.95 | — |
| Ultimate Health Plan | MCR | $124.31 | — |
| Humana | PPO | $127.32 | — |
| Humana | HMO | $127.32 | — |
| United | OptionsPPO | $129.23 | — |
| Longevity Health Plan | MCR | $129.72 | — |
| Gadsden County Jail | Prison | $135.13 | — |
| Physician Network Association | Prison | $140.53 | — |
| AvMed | HMOFI | $152.78 | — |
| Sunshine State Health Plan | QHP | $162.33 | — |
| AvMed | ASOEO | $178.25 | — |
| Naphcare | Prison | $183.77 | — |
| Aetna | ASA | $190.98 | — |
| Molina Healthcare | HIX | $203.71 | — |
| Cigna | PPO | $264.19 | — |
| Cigna | ManagedCareHMO | $264.19 | — |
| United | GlobalBenefitPlan | $286.47 | — |
| AvMed | HIXOON | $318.30 | — |
| Plotkin Health | COMM | $318.30 | — |
| Prime Health Sheriff | COMM | $318.30 | — |
| Prime Health Sheriff | WORKERSCOMP | $318.30 | — |
| Multiplan | Primary | $496.55 | — |
| Evernorth | BHCOMM | $509.28 | — |
| Evolutions Healthcare | TRADITIONALPPO | $541.11 | — |
| PPO Next | COMM | $541.11 | — |
| PPO Next | PPO | $541.11 | — |
| Multiplan | Complementary | $541.11 | — |
| NovaNet | COMM | $572.94 | — |
| Beacon Health Options | MCR | $636.60 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
St analysis behavior qualitative voice/resonance at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $348.64 | $105.39 – $185.16 |
| Adventhealth Lake Wales | Lake Wales | $1,046.27 | $110.94 – $246.29 |
| Adventhealth Palm Coast Parkway | Palm Coast | $364.61 | not published |
| Adventhealth Tampa | Tampa | $689.48 | $110.94 – $246.29 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $262.14 | $105.39 – $242.35 |
| Adventhealth Port Charlotte | Port Charlotte | $904.77 | not published |
| cleveland clinic florida weston hospital | Weston | $499.20 | $72.11 – $768.00 |
| martin north hospital | Stuart | $499.20 | $111.50 – $768.00 |