Mayo factor v 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.
$0.70 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $24.00 with Oscar — 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 | $0.70 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $1.08 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $1.08 | — |
| Freedom Health Care | MGMGR | $1.17 | — |
| Optimum Healthcare | MCRHMO | $1.17 | — |
| Optimum Healthcare | PFFS | $1.17 | — |
| Optimum Healthcare | MCRPPO | $1.17 | — |
| AvMed | HIX | $1.20 | — |
| Simply Healthcare | MGMCR | $2.31 | — |
| United | OptionsPPO | $2.46 | — |
| Molina | MGMCR | $2.85 | — |
| AvMed | HMOFI | $3.30 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $3.45 | — |
| AvMed | ASOEO | $3.75 | — |
| Sunshine State Health Plan | QHP | $3.83 | — |
| Molina | HIX | $4.05 | — |
| Humana | HMO | $4.20 | — |
| Humana | PPO | $4.20 | — |
| Aetna | ASA | $4.50 | — |
| United | GlobalBenefitPlanAppendix | $6.75 | — |
| Prime Health Sheriff | COMM | $7.50 | — |
| Plotkin Health | COMM | $7.50 | — |
| CorVel Corporation | WORKERSCOMP | $8.77 | — |
| Rockport Healthcare Group | WORKERSCOMP | $8.77 | — |
| Prime Health | WorkersComp | $8.95 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $9.00 | — |
| Multiplan | PRIMARYPPO | $11.25 | — |
| Multiplan | COMPLEMENTARYPPO | $12.75 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $12.75 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $12.75 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $13.80 | — |
| Humana | TRICARE | $16.00 | — |
| CareSource | Tricare | $16.49 | — |
| Devoted Health | MCR | $17.65 | — |
| WellMed | MCR | $17.65 | — |
| Hernando-Pasco Hospice | COMM | $17.65 | — |
| WellCare | MCR | $17.65 | — |
| United | MGMCD | $17.65 | — |
| Aetna | MCR | $17.65 | — |
| NDMS Definitive Care | MCR | $17.65 | — |
| United VA CCN | FED | $17.65 | — |
| Sunshine State | MCR | $17.65 | — |
| United | AllPayerAppendix | $17.65 | — |
| BCBS | MCRPPO | $18.00 | — |
| BCBS | MGMCRHMO | $18.00 | — |
| United | MCR | $18.00 | — |
| Ultimate Health Plan | MCR | $18.00 | — |
| HUMANA | MGMCRPPO | $18.53 | — |
| American Health Plan | MCR | $18.71 | — |
| Florida Complete Care | MCR | $18.89 | — |
| Align Senior Care | MCR | $18.89 | — |
| Cigna HealthSpring | MCR | $18.89 | — |
| SECUR | MGMCR | $19.06 | — |
| Gold Kidney of Florida | Medicare | $19.24 | — |
| Centurion | LOGOV | $19.41 | — |
| Clear Spring Health | MCR | $19.41 | — |
| HUMANA | MGMCRHMO | $19.41 | — |
| CarePlus | MGMCR | $20.12 | — |
| Simply Healthcare | HIX | $22.06 | — |
| Oscar | HIX | $24.00 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Mayo factor v at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $68.40 | $16.77 – $29.46 |
| Adventhealth Palm Coast Parkway | Palm Coast | $69.85 | $16.77 – $37.70 |
| Adventhealth Tampa | Tampa | $125.48 | $17.65 – $39.18 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $86.43 | $16.77 – $38.56 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $360.00 | $8.64 – $25.59 |
| Adventhealth Port Charlotte | Port Charlotte | $130.49 | $17.65 – $32.23 |
| cleveland clinic florida weston hospital | Weston | $52.65 | $2.12 – $68.00 |
| martin north hospital | Stuart | $52.65 | $2.23 – $60.00 |