Calculus analysis qual at HCA FLORIDA OAK HILL HOSPITAL
11375 CORTEZ BOULEVARD, BROOKSVILLE, FL · HCA Florida Healthcare · · NPI 1013961838
$11.05
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.
$11.05
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.
$0.52 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $76.63 with Prime Health — 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 | $0.52 | ↓ -95% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $0.80 | ↓ -93% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $0.80 | ↓ -93% |
| Optimum Healthcare | PFFS | $0.86 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $0.86 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $0.86 | ↓ -92% |
| Freedom Health Care | MGMGR | $0.86 | ↓ -92% |
| AvMed | HIX | $0.88 | ↓ -92% |
| Simply Healthcare | MGMCR | $1.70 | ↓ -85% |
| United | OptionsPPO | $1.81 | ↓ -84% |
| Molina | MGMCR | $2.10 | ↓ -81% |
| AvMed | HMOFI | $2.43 | ↓ -78% |
| Evolutions Healthcare Systems | PrimeTier1 | $2.54 | ↓ -77% |
| AvMed | ASOEO | $2.76 | ↓ -75% |
| Sunshine State Health Plan | QHP | $2.82 | ↓ -74% |
| Molina | HIX | $2.98 | ↓ -73% |
| Humana | HMO | $3.09 | ↓ -72% |
| Humana | PPO | $3.09 | ↓ -72% |
| Aetna | ASA | $3.31 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $4.97 | ↓ -55% |
| Plotkin Health | COMM | $5.53 | ↓ -50% |
| Prime Health Sheriff | COMM | $5.53 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $6.63 | ↓ -40% |
| Multiplan | PRIMARYPPO | $8.29 | ↓ -25% |
| Evolutions Healthcare Systems | SELECTNETWORK | $9.39 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $9.39 | ↓ -15% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $9.39 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $10.17 | ↓ -8% |
| Humana | TRICARE | $10.50 | ↓ -5% |
| CareSource | Tricare | $10.82 | ↓ -2% |
| WellMed | MCR | $11.58 | ↑ +5% |
| United | MGMCD | $11.58 | ↑ +5% |
| NDMS Definitive Care | MCR | $11.58 | ↑ +5% |
| Sunshine State | MCR | $11.58 | ↑ +5% |
| United | AllPayerAppendix | $11.58 | ↑ +5% |
| Devoted Health | MCR | $11.58 | ↑ +5% |
| Aetna | MCR | $11.58 | ↑ +5% |
| WellCare | MCR | $11.58 | ↑ +5% |
| Hernando-Pasco Hospice | COMM | $11.58 | ↑ +5% |
| United VA CCN | FED | $11.58 | ↑ +5% |
| BCBS | MCRPPO | $11.81 | ↑ +7% |
| United | MCR | $11.81 | ↑ +7% |
| Ultimate Health Plan | MCR | $11.81 | ↑ +7% |
| BCBS | MGMCRHMO | $11.81 | ↑ +7% |
| HUMANA | MGMCRPPO | $12.16 | ↑ +10% |
| American Health Plan | MCR | $12.27 | ↑ +11% |
| Florida Complete Care | MCR | $12.39 | ↑ +12% |
| Cigna HealthSpring | MCR | $12.39 | ↑ +12% |
| Align Senior Care | MCR | $12.39 | ↑ +12% |
| SECUR | MGMCR | $12.51 | ↑ +13% |
| Gold Kidney of Florida | Medicare | $12.62 | ↑ +14% |
| Clear Spring Health | MCR | $12.74 | ↑ +15% |
| Centurion | LOGOV | $12.74 | ↑ +15% |
| HUMANA | MGMCRHMO | $12.74 | ↑ +15% |
| CarePlus | MGMCR | $13.20 | ↑ +19% |
| Simply Healthcare | HIX | $14.47 | ↑ +31% |
| Oscar | HIX | $15.75 | ↑ +43% |
| CorVel Corporation | WORKERSCOMP | $75.05 | ↑ +579% |
| Rockport Healthcare Group | WORKERSCOMP | $75.05 | ↑ +579% |
| Prime Health | WorkersComp | $76.63 | ↑ +593% |
| Aetna | NonGatedCOMM | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Calculus analysis qual at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $53.79 | $11.00 – $19.33 |
| Adventhealth Palm Coast Parkway | Palm Coast | $23.33 | $11.00 – $24.73 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $74.73 | $11.00 – $25.30 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $10.52 | $11.58 – $43.36 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $8.82 | $11.58 – $43.36 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $12.75 | $10.50 – $77.95 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $165.00 | $11.46 – $82.30 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $11.93 | $10.50 – $76.63 |