Ot evaluation high complexity patient/family 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.
$43.12 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $843.99 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 |
|---|---|---|---|
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $43.12 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $55.04 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $55.04 | — |
| Optimum Healthcare | MCRPPO | $59.63 | — |
| Optimum Healthcare | MCRHMO | $59.63 | — |
| Freedom Health Care | MGMGR | $59.63 | — |
| Optimum Healthcare | PFFS | $59.63 | — |
| AvMed | HIX | $73.39 | — |
| WellMed | MCR | $86.73 | — |
| Hernando-Pasco Hospice | COMM | $86.73 | — |
| United Behavioral Health | VACNN | $86.73 | — |
| Aetna | MCR | $86.73 | — |
| United VA CCN | FED | $86.73 | — |
| NDMS Definitive Care | MCR | $86.73 | — |
| United | MGMCD | $86.73 | — |
| Ultimate Health Plan | MCR | $88.47 | — |
| United | MCR | $88.47 | — |
| BCBS | MGMCRHMO | $88.47 | — |
| BCBS | MCRPPO | $88.47 | — |
| Sunshine State | MCR | $91.07 | — |
| HUMANA | MGMCRPPO | $91.07 | — |
| WellCare | MCR | $91.07 | — |
| American Health Plan | MCR | $91.94 | — |
| Florida Complete Care | MCR | $92.80 | — |
| Cigna HealthSpring | MCR | $92.80 | — |
| Align Senior Care | MCR | $92.80 | — |
| SECUR | MGMCR | $93.67 | — |
| Gold Kidney of Florida | Medicare | $94.54 | — |
| Humana | TRICARE | $95.28 | — |
| HUMANA | MGMCRHMO | $95.41 | — |
| Clear Spring Health | MCR | $95.41 | — |
| Centurion | LOGOV | $95.41 | — |
| CareSource | Tricare | $98.23 | — |
| Simply Healthcare | HIX | $116.51 | — |
| Oscar | HIX | $137.61 | — |
| United | OptionsPPO | $150.45 | — |
| Cigna | PPO | $159.62 | — |
| Cigna | HMO | $159.62 | — |
| Molina | MGMCR | $174.30 | — |
| AvMed | HMOFI | $201.82 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $211.00 | — |
| AvMed | ASOEO | $229.34 | — |
| Sunshine State Health Plan | QHP | $233.93 | — |
| Molina | HIX | $247.69 | — |
| Humana | HMO | $256.87 | — |
| Humana | PPO | $256.87 | — |
| Aetna | ASA | $275.21 | — |
| United | GlobalBenefitPlanAppendix | $412.82 | — |
| Beacon Health Options | COMM | $458.69 | — |
| Plotkin Health | COMM | $458.69 | — |
| Prime Health Sheriff | COMM | $458.69 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $550.43 | — |
| Multiplan | PRIMARYPPO | $688.03 | — |
| Evernorth | BHCOMM | $733.90 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $779.77 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $779.77 | — |
| Multiplan | COMPLEMENTARYPPO | $779.77 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $843.99 | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $369.90 | $93.63 – $164.50 |
| Adventhealth Lake Wales | Lake Wales | $758.39 | $98.56 – $218.80 |
| Adventhealth Palm Coast Parkway | Palm Coast | $474.36 | not published |
| Adventhealth Tampa | Tampa | $846.31 | $98.56 – $218.80 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $562.30 | $93.63 – $215.30 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,109.00 | $69.39 – $104.08 |
| Adventhealth Port Charlotte | Port Charlotte | $906.00 | not published |
| cleveland clinic florida weston hospital | Weston | $547.95 | $66.98 – $716.55 |