Lipoprotein blood high res frac & quant at HCA FLORIDA OAK HILL HOSPITAL
11375 CORTEZ BOULEVARD, BROOKSVILLE, FL · HCA Florida Healthcare · · NPI 1013961838
$35.00
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.
$35.00
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.
$1.65 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 | $1.65 | ↓ -95% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $2.52 | ↓ -93% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $2.52 | ↓ -93% |
| Optimum Healthcare | MCRHMO | $2.73 | ↓ -92% |
| Optimum Healthcare | PFFS | $2.73 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $2.73 | ↓ -92% |
| Freedom Health Care | MGMGR | $2.73 | ↓ -92% |
| AvMed | HIX | $2.80 | ↓ -92% |
| Simply Healthcare | MGMCR | $5.39 | ↓ -85% |
| United | OptionsPPO | $5.74 | ↓ -84% |
| Molina | MGMCR | $6.65 | ↓ -81% |
| AvMed | HMOFI | $7.70 | ↓ -78% |
| Evolutions Healthcare Systems | PrimeTier1 | $8.05 | ↓ -77% |
| AvMed | ASOEO | $8.75 | ↓ -75% |
| Sunshine State Health Plan | QHP | $8.93 | ↓ -74% |
| Molina | HIX | $9.45 | ↓ -73% |
| Humana | PPO | $9.80 | ↓ -72% |
| Humana | HMO | $9.80 | ↓ -72% |
| Aetna | ASA | $10.50 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $15.75 | ↓ -55% |
| Plotkin Health | COMM | $17.50 | ↓ -50% |
| Prime Health Sheriff | COMM | $17.50 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $21.00 | ↓ -40% |
| Multiplan | PRIMARYPPO | $26.25 | ↓ -25% |
| Evolutions Healthcare Systems | SELECTNETWORK | $29.75 | ↓ -15% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $29.75 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $29.75 | ↓ -15% |
| Humana | TRICARE | $30.69 | ↓ -12% |
| CareSource | Tricare | $31.64 | ↓ -10% |
| Evolutions Healthcare Systems | CHOICENETWORK | $32.20 | ↓ -8% |
| Hernando-Pasco Hospice | COMM | $33.86 | ↓ -3% |
| United VA CCN | FED | $33.86 | ↓ -3% |
| WellMed | MCR | $33.86 | ↓ -3% |
| United | MGMCD | $33.86 | ↓ -3% |
| NDMS Definitive Care | MCR | $33.86 | ↓ -3% |
| Sunshine State | MCR | $33.86 | ↓ -3% |
| United | AllPayerAppendix | $33.86 | ↓ -3% |
| Devoted Health | MCR | $33.86 | ↓ -3% |
| Aetna | MCR | $33.86 | ↓ -3% |
| WellCare | MCR | $33.86 | ↓ -3% |
| BCBS | MGMCRHMO | $34.54 | ↓ -1% |
| Ultimate Health Plan | MCR | $34.54 | ↓ -1% |
| United | MCR | $34.54 | ↓ -1% |
| BCBS | MCRPPO | $34.54 | ↓ -1% |
| HUMANA | MGMCRPPO | $35.55 | ↑ +2% |
| American Health Plan | MCR | $35.89 | ↑ +3% |
| Florida Complete Care | MCR | $36.23 | ↑ +4% |
| Align Senior Care | MCR | $36.23 | ↑ +4% |
| Cigna HealthSpring | MCR | $36.23 | ↑ +4% |
| SECUR | MGMCR | $36.57 | ↑ +4% |
| Gold Kidney of Florida | Medicare | $36.91 | ↑ +5% |
| Clear Spring Health | MCR | $37.25 | ↑ +6% |
| HUMANA | MGMCRHMO | $37.25 | ↑ +6% |
| Centurion | LOGOV | $37.25 | ↑ +6% |
| CarePlus | MGMCR | $38.60 | ↑ +10% |
| Simply Healthcare | HIX | $42.33 | ↑ +21% |
| Oscar | HIX | $46.05 | ↑ +32% |
| CorVel Corporation | WORKERSCOMP | $75.05 | ↑ +114% |
| Rockport Healthcare Group | WORKERSCOMP | $75.05 | ↑ +114% |
| Prime Health | WorkersComp | $76.63 | ↑ +119% |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Lipoprotein blood high res frac & quant at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $149.50 | $12.50 – $50.00 |
| martin north hospital | Stuart | $149.50 | $14.09 – $49.89 |
| Boca Raton Regional Hospital | BOCA RATON | $141.05 | $33.86 – $70.52 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $37.25 | $30.69 – $77.95 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $109.00 | $33.52 – $82.30 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | $19.50 | $30.69 – $74.25 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE | $26.75 | $30.69 – $78.67 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON | $32.00 | $30.69 – $76.63 |