Diffusing capacity at HCA FLORIDA OAK HILL HOSPITAL
11375 CORTEZ BOULEVARD, BROOKSVILLE, FL · HCA Florida Healthcare · · NPI 1013961838
$1,459.26
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.
$1,459.26
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.
$47.50 with CorVel Corporation vs $1,342.52 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $47.50 | ↓ -97% |
| Rockport Healthcare Group | WORKERSCOMP | $47.50 | ↓ -97% |
| Prime Health | WorkersComp | $48.50 | ↓ -97% |
| BCBS | MGMCRHMO | $49.61 | ↓ -97% |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $68.59 | ↓ -95% |
| Aetna | MCR | $100.69 | ↓ -93% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $105.07 | ↓ -93% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $105.07 | ↓ -93% |
| Optimum Healthcare | PFFS | $113.82 | ↓ -92% |
| Freedom Health Care | MGMGR | $113.82 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $113.82 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $113.82 | ↓ -92% |
| Truli | BSL | $116.74 | ↓ -92% |
| BCBS | BSL | $116.74 | ↓ -92% |
| BCBS | MBN | $116.74 | ↓ -92% |
| BCBS | SBN | $116.74 | ↓ -92% |
| AvMed | HIX | $116.74 | ↓ -92% |
| BCBS | HMO | $166.36 | ↓ -89% |
| Truli | PPO | $178.03 | ↓ -88% |
| Simply Healthcare | HIX | $185.33 | ↓ -87% |
| BCBS | NWB | $185.33 | ↓ -87% |
| BCBS | PPO | $185.33 | ↓ -87% |
| Aetna | QHP | $191.16 | ↓ -87% |
| Oscar | HIX | $218.89 | ↓ -85% |
| Simply Healthcare | MGMCR | $224.73 | ↓ -85% |
| United | OptionsPPO | $239.32 | ↓ -84% |
| Cigna | PPO | $253.91 | ↓ -83% |
| Cigna | HMO | $253.91 | ↓ -83% |
| Molina | MGMCR | $277.26 | ↓ -81% |
| BCBS | PHS | $293.31 | ↓ -80% |
| AvMed | HMOFI | $321.04 | ↓ -78% |
| Aetna | GatedCOMM | $329.79 | ↓ -77% |
| Aetna | NonGatedCOMM | $329.79 | ↓ -77% |
| Evolutions Healthcare Systems | PrimeTier1 | $335.63 | ↓ -77% |
| AvMed | ASOEO | $364.81 | ↓ -75% |
| Sunshine State Health Plan | QHP | $372.11 | ↓ -75% |
| Molina | HIX | $394.00 | ↓ -73% |
| Humana | PPO | $408.59 | ↓ -72% |
| Humana | HMO | $408.59 | ↓ -72% |
| Aetna | ASA | $437.78 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $656.67 | ↓ -55% |
| Prime Health Sheriff | COMM | $729.63 | ↓ -50% |
| Plotkin Health | COMM | $729.63 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $875.56 | ↓ -40% |
| Multiplan | PRIMARYPPO | $1,094.44 | ↓ -25% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $1,240.37 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $1,240.37 | ↓ -15% |
| Evolutions Healthcare Systems | SELECTNETWORK | $1,240.37 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $1,342.52 | ↓ -8% |
Visitor-reported prices
Comments
Diffusing capacity at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $361.39 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $331.76 | not published |
| Adventhealth Tampa | Tampa | $646.29 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $547.14 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $683.00 | $47.50 – $48.50 |
| Adventhealth Port Charlotte | Port Charlotte | $731.24 | not published |
| cleveland clinic florida weston hospital | Weston | $540.80 | $6.96 – $642.60 |
| martin north hospital | Stuart | $540.80 | $6.23 – $855.00 |