Biopsy of heart lining at HCA FLORIDA CITRUS HOSPITAL
502 W Highland Blvd, Inverness, FL · HCA Florida Healthcare · · NPI 1750780342
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.
$2,793.00 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $33,179.00 with Aetna — 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 | $2,793.00 | — |
| Optimum Healthcare | PFFS | $3,325.00 | — |
| Optimum Healthcare | MCRPPO | $3,325.00 | — |
| Optimum Healthcare | MCRHMO | $3,325.00 | — |
| Freedom Health Care | MGMGR | $3,325.00 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $3,325.00 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $3,325.00 | — |
| Rockport Healthcare Group | WORKERSCOMP | $3,634.21 | — |
| CorVel Corporation | WORKERSCOMP | $3,634.21 | — |
| Prime Health | WorkersComp | $3,710.72 | — |
| Sunshine State Health Plan | QHP | $4,825.00 | — |
| Simply Healthcare | HIX | $5,253.00 | — |
| Oscar | HIX | $7,522.00 | — |
| United | AllPayerAppendix | $7,558.00 | — |
| Humana | PPO | $17,633.00 | — |
| Humana | HMO | $17,633.00 | — |
| Aetna | QHP | $17,857.00 | — |
| Aetna | NonGatedCOMM | $33,179.00 | — |
| Aetna | GatedCOMM | $33,179.00 | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of heart lining at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $8,333.83 | $3,297.29 – $7,319.99 |
| cleveland clinic florida weston hospital | Weston | $15,883.40 | $212.48 – $19,229.55 |
| martin north hospital | Stuart | $14,704.95 | $473.63 – $11,311.50 |
| indian river hospital | Vero Beach | $14,704.95 | $327.28 – $18,098.40 |
| Baptist Hospital | MIAMI | $9,134.45 | $173.17 – $12,647.70 |
| Bethesda Hospital East | BOYNTON BEACH | $9,134.45 | $1,324.00 – $12,647.70 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $9,134.45 | $1,521.09 – $12,647.70 |
| West Kendall Baptist Hospital | MIAMI | $9,134.45 | $1,521.09 – $12,647.70 |