Emg 3 ext w-w/o paraspinal area 95863 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.
$113.05 with CorVel Corporation vs $3,202.68 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 | $113.05 | — |
| Rockport Healthcare Group | WORKERSCOMP | $113.05 | — |
| Prime Health | WorkersComp | $115.43 | — |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $163.61 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $250.64 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $250.64 | — |
| Optimum Healthcare | MCRPPO | $271.53 | — |
| Optimum Healthcare | MCRHMO | $271.53 | — |
| Optimum Healthcare | PFFS | $271.53 | — |
| Freedom Health Care | MGMGR | $271.53 | — |
| Truli | BSL | $278.49 | — |
| BCBS | BSL | $278.49 | — |
| BCBS | MBN | $278.49 | — |
| BCBS | SBN | $278.49 | — |
| AvMed | HIX | $278.49 | — |
| BCBS | HMO | $396.85 | — |
| Truli | PPO | $424.70 | — |
| BCBS | NWB | $442.11 | — |
| BCBS | PPO | $442.11 | — |
| Simply Healthcare | HIX | $442.11 | — |
| Aetna | QHP | $456.03 | — |
| Oscar | HIX | $522.18 | — |
| Simply Healthcare | MGMCR | $536.10 | — |
| United | OptionsPPO | $570.91 | — |
| Cigna | HMO | $605.72 | — |
| Cigna | PPO | $605.72 | — |
| Molina | MGMCR | $661.42 | — |
| BCBS | PHS | $699.72 | — |
| AvMed | HMOFI | $765.86 | — |
| Aetna | NonGatedCOMM | $786.74 | — |
| Aetna | GatedCOMM | $786.74 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $800.67 | — |
| AvMed | ASOEO | $870.29 | — |
| Sunshine State Health Plan | QHP | $887.70 | — |
| Molina | HIX | $939.92 | — |
| Humana | HMO | $974.73 | — |
| Humana | PPO | $974.73 | — |
| Aetna | ASA | $1,044.35 | — |
| United | GlobalBenefitPlanAppendix | $1,566.53 | — |
| Plotkin Health | COMM | $1,740.59 | — |
| Prime Health Sheriff | COMM | $1,740.59 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $2,088.70 | — |
| Multiplan | PRIMARYPPO | $2,610.88 | — |
| Multiplan | COMPLEMENTARYPPO | $2,958.99 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $2,958.99 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $2,958.99 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $3,202.68 | — |
Visitor-reported prices
Comments
Emg 3 ext w-w/o paraspinal area 95863 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $2,680.19 | $134.37 – $298.30 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $3,796.00 | $113.05 – $115.43 |
| cleveland clinic florida weston hospital | Weston | $1,363.70 | $62.46 – $1,147.50 |
| martin north hospital | Stuart | $877.50 | $86.94 – $748.00 |
| indian river hospital | Vero Beach | $877.50 | $82.59 – $1,080.00 |
| Baptist Hospital | MIAMI | $408.85 | $85.02 – $566.10 |
| Bethesda Hospital East | BOYNTON BEACH | $408.85 | $85.02 – $566.10 |
| Doctors Hospital | CORAL GABLES | $408.85 | $82.42 – $566.10 |