Whfo w/joint(s) custom fab 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.
$495.48 with Humana vs $582.31 with CarePlus — 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 |
|---|---|---|---|
| Humana | TRICARE | $495.48 | — |
| United VA CCN | FED | $510.80 | — |
| WellCare | MCR | $510.80 | — |
| Aetna | MCR | $510.80 | — |
| United | MGMCD | $510.80 | — |
| CareSource | Tricare | $510.80 | — |
| WellMed | MCR | $510.80 | — |
| NDMS Definitive Care | MCR | $510.80 | — |
| Sunshine State | MCR | $510.80 | — |
| Hernando-Pasco Hospice | COMM | $510.80 | — |
| Devoted Health | MCR | $510.80 | — |
| Ultimate Health Plan | MCR | $521.02 | — |
| United | MCR | $521.02 | — |
| BCBS | MCRPPO | $521.02 | — |
| BCBS | MGMCRHMO | $521.02 | — |
| HUMANA | MGMCRPPO | $536.34 | — |
| American Health Plan | MCR | $541.45 | — |
| Florida Complete Care | MCR | $546.56 | — |
| Align Senior Care | MCR | $546.56 | — |
| Cigna HealthSpring | MCR | $546.56 | — |
| SECUR | MGMCR | $551.66 | — |
| Gold Kidney of Florida | Medicare | $556.77 | — |
| HUMANA | MGMCRHMO | $561.88 | — |
| Centurion | LOGOV | $561.88 | — |
| Clear Spring Health | MCR | $561.88 | — |
| CarePlus | MGMCR | $582.31 | — |
Visitor-reported prices
Comments
Whfo w/joint(s) custom fab at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $1,776.66 | not published |
| Adventhealth Tampa | Tampa | $2,030.48 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,776.66 | not published |
| cleveland clinic florida weston hospital | Weston | $308.75 | $79.80 – $403.75 |
| martin north hospital | Stuart | $811.85 | $259.79 – $936.75 |
| Boca Raton Regional Hospital | BOCA RATON | $1,134.90 | $480.15 – $1,140.14 |
| Adventhealth Palm Coast | Palm Coast | $1,776.66 | not published |
| Adventhealth Waterman | Tavares | $2,030.48 | not published |