Calculi urinary-sendout at HCA FLORIDA CITRUS HOSPITAL
502 W Highland Blvd, Inverness, FL · HCA Florida Healthcare · · NPI 1750780342
$12.05
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.
$12.05
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.
$0.57 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $71.30 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 | $0.57 | ↓ -95% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $0.72 | ↓ -94% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $0.72 | ↓ -94% |
| Optimum Healthcare | MCRHMO | $0.78 | ↓ -94% |
| Freedom Health Care | MGMGR | $0.78 | ↓ -94% |
| Optimum Healthcare | PFFS | $0.78 | ↓ -94% |
| Optimum Healthcare | MCRPPO | $0.78 | ↓ -94% |
| AvMed | HIX | $0.96 | ↓ -92% |
| United | OptionsPPO | $1.98 | ↓ -84% |
| Molina | MGMCR | $2.29 | ↓ -81% |
| AvMed | HMOFI | $2.65 | ↓ -78% |
| Evolutions Healthcare Systems | PrimeTier1 | $2.77 | ↓ -77% |
| AvMed | ASOEO | $3.01 | ↓ -75% |
| Sunshine State Health Plan | QHP | $3.07 | ↓ -75% |
| Molina | HIX | $3.25 | ↓ -73% |
| Humana | PPO | $3.37 | ↓ -72% |
| Humana | HMO | $3.37 | ↓ -72% |
| Aetna | ASA | $3.62 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $5.42 | ↓ -55% |
| Beacon Health Options | COMM | $6.03 | ↓ -50% |
| Plotkin Health | COMM | $6.03 | ↓ -50% |
| Prime Health Sheriff | COMM | $6.03 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $7.23 | ↓ -40% |
| Multiplan | PRIMARYPPO | $9.04 | ↓ -25% |
| Evernorth | BHCOMM | $9.64 | ↓ -20% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $10.24 | ↓ -15% |
| Evolutions Healthcare Systems | SELECTNETWORK | $10.24 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $10.24 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $11.09 | ↓ -8% |
| Humana | TRICARE | $11.67 | ↓ -3% |
| CareSource | Tricare | $12.03 | ↓ -0% |
| United Behavioral Health | VACNN | $12.87 | ↑ +7% |
| NDMS Definitive Care | MCR | $12.87 | ↑ +7% |
| United VA CCN | FED | $12.87 | ↑ +7% |
| WellMed | MCR | $12.87 | ↑ +7% |
| Hernando-Pasco Hospice | COMM | $12.87 | ↑ +7% |
| United | AllPayerAppendix | $12.87 | ↑ +7% |
| United | MGMCD | $12.87 | ↑ +7% |
| Aetna | MCR | $12.87 | ↑ +7% |
| BCBS | MGMCRHMO | $13.13 | ↑ +9% |
| BCBS | MCRPPO | $13.13 | ↑ +9% |
| Ultimate Health Plan | MCR | $13.13 | ↑ +9% |
| United | MCR | $13.13 | ↑ +9% |
| WellCare | MCR | $13.51 | ↑ +12% |
| Sunshine State | MCR | $13.51 | ↑ +12% |
| HUMANA | MGMCRPPO | $13.51 | ↑ +12% |
| American Health Plan | MCR | $13.64 | ↑ +13% |
| Cigna HealthSpring | MCR | $13.77 | ↑ +14% |
| Align Senior Care | MCR | $13.77 | ↑ +14% |
| Florida Complete Care | MCR | $13.77 | ↑ +14% |
| SECUR | MGMCR | $13.90 | ↑ +15% |
| Gold Kidney of Florida | Medicare | $14.03 | ↑ +16% |
| Clear Spring Health | MCR | $14.16 | ↑ +18% |
| HUMANA | MGMCRHMO | $14.16 | ↑ +18% |
| Centurion | LOGOV | $14.16 | ↑ +18% |
| Simply Healthcare | HIX | $16.09 | ↑ +34% |
| Oscar | HIX | $17.50 | ↑ +45% |
| Rockport Healthcare Group | WORKERSCOMP | $69.83 | ↑ +480% |
| CorVel Corporation | WORKERSCOMP | $69.83 | ↑ +480% |
| Prime Health | WorkersComp | $71.30 | ↑ +492% |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Calculi urinary-sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $198.65 | $12.87 – $28.57 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $15.00 | $10.30 – $75.49 |
| Adventhealth Port Charlotte | Port Charlotte | $85.70 | $12.87 – $23.50 |
| Baptist Hospital | MIAMI | $57.20 | $4.86 – $79.20 |
| Bethesda Hospital East | BOYNTON BEACH | $57.20 | $6.32 – $79.20 |
| Boca Raton Regional Hospital | BOCA RATON | $23.40 | $12.87 – $23.51 |
| Doctors Hospital | CORAL GABLES | $57.20 | $6.12 – $79.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $57.20 | $6.12 – $79.20 |