Analysis tumor at HCA FLORIDA OAK HILL HOSPITAL
11375 CORTEZ BOULEVARD, BROOKSVILLE, FL · HCA Florida Healthcare · · NPI 1013961838
$109.44
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.
?
What you pay up front if you don't use insurance.
$109.44
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.14 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $284.64 with Prime Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $5.14 | ↓ -95% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $7.88 | ↓ -93% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $7.88 | ↓ -93% |
| Optimum Healthcare | PFFS | $8.54 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $8.54 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $8.54 | ↓ -92% |
| Freedom Health Care | MGMGR | $8.54 | ↓ -92% |
| AvMed | HIX | $8.76 | ↓ -92% |
| Simply Healthcare | HIX | $13.90 | ↓ -87% |
| Oscar | HIX | $16.42 | ↓ -85% |
| Simply Healthcare | MGMCR | $16.85 | ↓ -85% |
| United | OptionsPPO | $17.95 | ↓ -84% |
| Molina | MGMCR | $20.79 | ↓ -81% |
| AvMed | HMOFI | $24.08 | ↓ -78% |
| Evolutions Healthcare Systems | PrimeTier1 | $25.17 | ↓ -77% |
| AvMed | ASOEO | $27.36 | ↓ -75% |
| Sunshine State Health Plan | QHP | $27.91 | ↓ -74% |
| Molina | HIX | $29.55 | ↓ -73% |
| Humana | PPO | $30.64 | ↓ -72% |
| Humana | HMO | $30.64 | ↓ -72% |
| Aetna | ASA | $32.83 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $49.25 | ↓ -55% |
| Plotkin Health | COMM | $54.72 | ↓ -50% |
| Prime Health Sheriff | COMM | $54.72 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $65.66 | ↓ -40% |
| Multiplan | PRIMARYPPO | $82.08 | ↓ -25% |
| Evolutions Healthcare Systems | SELECTNETWORK | $93.02 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $93.02 | ↓ -15% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $93.02 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $100.68 | ↓ -8% |
| United | AllPayerAppendix | $149.16 | ↑ +36% |
| Rockport Healthcare Group | WORKERSCOMP | $278.77 | ↑ +155% |
| CorVel Corporation | WORKERSCOMP | $278.77 | ↑ +155% |
| Prime Health | WorkersComp | $284.64 | ↑ +160% |
| Aetna | QHP | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Analysis tumor at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,174.00 | $149.16 – $280.39 |
| Baptist Hospital | MIAMI | $608.40 | $101.78 – $842.40 |
| Bethesda Hospital East | BOYNTON BEACH | $608.40 | $101.78 – $842.40 |
| Doctors Hospital | CORAL GABLES | $608.40 | $98.66 – $842.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $608.40 | $98.66 – $842.40 |
| Homestead Hospital | HOMESTEAD | $608.40 | $98.66 – $842.40 |
| West Kendall Baptist Hospital | MIAMI | $608.40 | $98.66 – $842.40 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $381.50 | $149.16 – $284.64 |