Bld prd mix at HCA FLORIDA OAK HILL HOSPITAL
11375 CORTEZ BOULEVARD, BROOKSVILLE, FL · HCA Florida Healthcare · · NPI 1013961838
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.
$10.64 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $208.24 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 | $10.64 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $16.30 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $16.30 | — |
| Optimum Healthcare | PFFS | $17.66 | — |
| Optimum Healthcare | MCRPPO | $17.66 | — |
| Optimum Healthcare | MCRHMO | $17.66 | — |
| Freedom Health Care | MGMGR | $17.66 | — |
| AvMed | HIX | $18.11 | — |
| Simply Healthcare | HIX | $28.75 | — |
| Oscar | HIX | $33.95 | — |
| Simply Healthcare | MGMCR | $34.86 | — |
| United | OptionsPPO | $37.12 | — |
| Molina | MGMCR | $43.01 | — |
| AvMed | HMOFI | $49.80 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $52.06 | — |
| AvMed | ASOEO | $56.59 | — |
| Sunshine State Health Plan | QHP | $57.72 | — |
| Molina | HIX | $61.11 | — |
| Humana | PPO | $63.38 | — |
| Humana | HMO | $63.38 | — |
| Aetna | ASA | $67.91 | — |
| CorVel Corporation | WORKERSCOMP | $80.90 | — |
| Rockport Healthcare Group | WORKERSCOMP | $80.90 | — |
| Prime Health | WorkersComp | $82.61 | — |
| United | GlobalBenefitPlanAppendix | $101.86 | — |
| Prime Health Sheriff | COMM | $113.17 | — |
| Plotkin Health | COMM | $113.17 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $135.81 | — |
| United | AllPayerAppendix | $149.16 | — |
| Multiplan | PRIMARYPPO | $169.76 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $192.40 | — |
| Multiplan | COMPLEMENTARYPPO | $192.40 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $192.40 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $208.24 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Bld prd mix at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $1,101.73 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $117.00 | $46.62 – $195.71 |
| martin north hospital | Stuart | $117.00 | $50.94 – $195.71 |
| Baptist Hospital | MIAMI | $40.95 | $4.32 – $199.26 |
| Bethesda Hospital East | BOYNTON BEACH | $40.95 | $12.66 – $185.03 |
| Boca Raton Regional Hospital | BOCA RATON | $349.05 | $27.51 – $298.42 |
| Doctors Hospital | CORAL GABLES | $40.95 | $11.03 – $199.26 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $40.95 | $10.96 – $195.71 |