Established Patient Office Visit (level 4) at HCA FLORIDA TRINITY HOSPITAL
9330 SR 54, TRINITY, FL · HCA Florida Healthcare · · NPI 1891741849
$1,675.60
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.
$1,675.60
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.
$78.75 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $1,541.55 with Evolutions Healthcare Systems — 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 |
|---|---|---|---|
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $78.75 | ↓ -95% |
| BCBS | MGMCRHMO | $83.78 | ↓ -95% |
| CorVel Corporation | WORKERSCOMP | $84.55 | ↓ -95% |
| Rockport Healthcare Group | WORKERSCOMP | $84.55 | ↓ -95% |
| Prime Health | WorkersComp | $86.33 | ↓ -95% |
| Aetna | MCR | $115.62 | ↓ -93% |
| Truli | BSL | $117.96 | ↓ -93% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $120.64 | ↓ -93% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $120.64 | ↓ -93% |
| Optimum Healthcare | MCRPPO | $130.70 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $130.70 | ↓ -92% |
| Optimum Healthcare | PFFS | $130.70 | ↓ -92% |
| Freedom Health Care | MGMGR | $130.70 | ↓ -92% |
| BCBS | BSL | $134.05 | ↓ -92% |
| BCBS | SBN | $134.05 | ↓ -92% |
| BCBS | MBN | $134.05 | ↓ -92% |
| BCBS | HMO | $191.02 | ↓ -89% |
| Truli | PPO | $204.42 | ↓ -88% |
| BCBS | PPO | $212.80 | ↓ -87% |
| BCBS | NWB | $212.80 | ↓ -87% |
| Aetna | QHP | $219.50 | ↓ -87% |
| Simply Healthcare | MGMCR | $258.04 | ↓ -85% |
| United | OptionsPPO | $274.80 | ↓ -84% |
| Cigna | HMO | $301.61 | ↓ -82% |
| Cigna | PPO | $301.61 | ↓ -82% |
| Molina | MGMCR | $318.36 | ↓ -81% |
| BCBS | PHS | $336.80 | ↓ -80% |
| Aetna | GatedCOMM | $378.69 | ↓ -77% |
| Aetna | NonGatedCOMM | $378.69 | ↓ -77% |
| Sunshine State Health Plan | QHP | $427.28 | ↓ -74% |
| Molina | HIX | $452.41 | ↓ -73% |
| Humana | PPO | $469.17 | ↓ -72% |
| Humana | HMO | $469.17 | ↓ -72% |
| Aetna | ASA | $502.68 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $754.02 | ↓ -55% |
| Prime Health Sheriff | COMM | $837.80 | ↓ -50% |
| Beacon Health Options | COMM | $837.80 | ↓ -50% |
| Plotkin Health | COMM | $837.80 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $1,005.36 | ↓ -40% |
| Multiplan | PRIMARYPPO | $1,256.70 | ↓ -25% |
| Evernorth | BHCOMM | $1,340.48 | ↓ -20% |
| Multiplan | COMPLEMENTARYPPO | $1,424.26 | ↓ -15% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $1,424.26 | ↓ -15% |
| Evolutions Healthcare Systems | SELECTNETWORK | $1,424.26 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $1,541.55 | ↓ -8% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $428.75 | not published |
| Adventhealth Lake Wales | Lake Wales | $650.55 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $747.19 | not published |
| Adventhealth Tampa | Tampa | $639.64 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $524.29 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $984.78 | not published |
| cleveland clinic florida weston hospital | Weston | $499.20 | $39.31 – $384.00 |
| martin north hospital | Stuart | $499.20 | $48.67 – $175.50 |