Pq biliary strict dil s&i 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.
$168.10 with BCBS vs $4,548.54 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 |
|---|---|---|---|
| BCBS | MGMCRHMO | $168.10 | — |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $232.37 | — |
| Aetna | MCR | $341.14 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $355.97 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $355.97 | — |
| Optimum Healthcare | MCRPPO | $385.64 | — |
| Freedom Health Care | MGMGR | $385.64 | — |
| Optimum Healthcare | PFFS | $385.64 | — |
| Optimum Healthcare | MCRHMO | $385.64 | — |
| AvMed | HIX | $395.52 | — |
| Simply Healthcare | MGMCR | $761.39 | — |
| Rockport Healthcare Group | WORKERSCOMP | $798.28 | — |
| CorVel Corporation | WORKERSCOMP | $798.28 | — |
| United | OptionsPPO | $810.83 | — |
| Prime Health | WorkersComp | $815.08 | — |
| Molina | MGMCR | $939.37 | — |
| AvMed | HMOFI | $1,087.69 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $1,137.13 | — |
| AvMed | ASOEO | $1,236.02 | — |
| Sunshine State Health Plan | QHP | $1,260.74 | — |
| Molina | HIX | $1,334.90 | — |
| Humana | PPO | $1,384.34 | — |
| Humana | HMO | $1,384.34 | — |
| Aetna | ASA | $1,483.22 | — |
| United | GlobalBenefitPlanAppendix | $2,224.83 | — |
| Plotkin Health | COMM | $2,472.03 | — |
| Prime Health Sheriff | COMM | $2,472.03 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $2,966.44 | — |
| Multiplan | PRIMARYPPO | $3,708.05 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $4,202.45 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $4,202.45 | — |
| Multiplan | COMPLEMENTARYPPO | $4,202.45 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $4,548.54 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Pq biliary strict dil s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $4,403.00 | $786.37 – $802.93 |
| Adventhealth Port Charlotte | Port Charlotte | $4,211.55 | not published |
| cleveland clinic florida weston hospital | Weston | $1,602.25 | $37.79 – $1,747.60 |
| martin north hospital | Stuart | $1,336.40 | $33.81 – $1,028.00 |
| indian river hospital | Vero Beach | $1,336.40 | $39.65 – $1,644.80 |
| Baptist Hospital | MIAMI | $5,865.60 | $129.63 – $8,121.60 |
| Bethesda Hospital East | BOYNTON BEACH | $5,865.60 | $129.63 – $8,121.60 |
| Boca Raton Regional Hospital | BOCA RATON | $2,250.30 | $468.00 – $2,260.69 |