Oth resp proc, group at HCA FLORIDA TRINITY HOSPITAL
9330 SR 54, TRINITY, FL · HCA Florida Healthcare · · NPI 1891741849
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.
$9.53 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $186.64 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 | $9.53 | — |
| CorVel Corporation | WORKERSCOMP | $12.35 | — |
| Rockport Healthcare Group | WORKERSCOMP | $12.35 | — |
| Prime Health | WorkersComp | $12.61 | — |
| Truli | BSL | $14.28 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $14.61 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $14.61 | — |
| Optimum Healthcare | MCRHMO | $15.82 | — |
| Optimum Healthcare | PFFS | $15.82 | — |
| Optimum Healthcare | MCRPPO | $15.82 | — |
| Freedom Health Care | MGMGR | $15.82 | — |
| AvMed | HIX | $16.23 | — |
| BCBS | BSL | $16.23 | — |
| BCBS | MBN | $16.23 | — |
| BCBS | SBN | $16.23 | — |
| BCBS | HMO | $23.13 | — |
| Truli | PPO | $24.75 | — |
| BCBS | NWB | $25.76 | — |
| BCBS | PPO | $25.76 | — |
| Simply Healthcare | HIX | $25.76 | — |
| Aetna | QHP | $26.58 | — |
| Oscar | HIX | $30.43 | — |
| Simply Healthcare | MGMCR | $31.24 | — |
| United | OptionsPPO | $33.27 | — |
| Cigna | PPO | $36.52 | — |
| Cigna | HMO | $36.52 | — |
| Molina | MGMCR | $38.55 | — |
| BCBS | PHS | $40.78 | — |
| AvMed | HMOFI | $44.63 | — |
| Aetna | GatedCOMM | $45.85 | — |
| Aetna | NonGatedCOMM | $45.85 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $46.66 | — |
| AvMed | ASOEO | $50.72 | — |
| Sunshine State Health Plan | QHP | $51.73 | — |
| Molina | HIX | $54.77 | — |
| Humana | HMO | $56.80 | — |
| Humana | PPO | $56.80 | — |
| Aetna | ASA | $60.86 | — |
| United | GlobalBenefitPlanAppendix | $91.29 | — |
| Beacon Health Options | COMM | $101.44 | — |
| Prime Health Sheriff | COMM | $101.44 | — |
| Plotkin Health | COMM | $101.44 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $121.72 | — |
| Multiplan | PRIMARYPPO | $152.15 | — |
| Evernorth | BHCOMM | $162.30 | — |
| Multiplan | COMPLEMENTARYPPO | $172.44 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $172.44 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $172.44 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $186.64 | — |
Visitor-reported prices
Comments
Oth resp proc, group at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $237.88 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $375.00 | $12.35 – $12.61 |
| Adventhealth Port Charlotte | Port Charlotte | $152.38 | $39.00 – $71.22 |
| cleveland clinic florida weston hospital | Weston | $127.40 | $10.77 – $166.60 |
| martin north hospital | Stuart | $127.40 | $9.63 – $98.00 |
| indian river hospital | Vero Beach | $127.40 | $11.52 – $156.80 |
| Bethesda Hospital East | BOYNTON BEACH | $105.30 | $21.76 – $145.80 |
| Boca Raton Regional Hospital | BOCA RATON | $87.10 | $38.30 – $134.00 |