Pt 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.
$39.12 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $765.84 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 | $39.12 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $49.95 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $49.95 | — |
| Optimum Healthcare | MCRPPO | $54.11 | — |
| Optimum Healthcare | MCRHMO | $54.11 | — |
| Freedom Health Care | MGMGR | $54.11 | — |
| Optimum Healthcare | PFFS | $54.11 | — |
| AvMed | HIX | $66.60 | — |
| WellMed | MCR | $84.48 | — |
| Hernando-Pasco Hospice | COMM | $84.48 | — |
| United Behavioral Health | VACNN | $84.48 | — |
| Aetna | MCR | $84.48 | — |
| United VA CCN | FED | $84.48 | — |
| NDMS Definitive Care | MCR | $84.48 | — |
| United | MGMCD | $84.48 | — |
| Ultimate Health Plan | MCR | $86.17 | — |
| United | MCR | $86.17 | — |
| BCBS | MGMCRHMO | $86.17 | — |
| BCBS | MCRPPO | $86.17 | — |
| Sunshine State | MCR | $88.70 | — |
| HUMANA | MGMCRPPO | $88.70 | — |
| WellCare | MCR | $88.70 | — |
| American Health Plan | MCR | $89.55 | — |
| Florida Complete Care | MCR | $90.39 | — |
| Cigna HealthSpring | MCR | $90.39 | — |
| Align Senior Care | MCR | $90.39 | — |
| SECUR | MGMCR | $91.24 | — |
| Gold Kidney of Florida | Medicare | $92.08 | — |
| HUMANA | MGMCRHMO | $92.93 | — |
| Clear Spring Health | MCR | $92.93 | — |
| Humana | TRICARE | $92.93 | — |
| Centurion | LOGOV | $92.93 | — |
| CareSource | Tricare | $95.80 | — |
| Simply Healthcare | HIX | $105.72 | — |
| Oscar | HIX | $124.87 | — |
| United | OptionsPPO | $136.52 | — |
| Cigna | HMO | $144.84 | — |
| Cigna | PPO | $144.84 | — |
| Molina | MGMCR | $158.16 | — |
| AvMed | HMOFI | $183.14 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $191.46 | — |
| AvMed | ASOEO | $208.11 | — |
| Sunshine State Health Plan | QHP | $212.27 | — |
| Molina | HIX | $224.76 | — |
| Humana | PPO | $233.08 | — |
| Humana | HMO | $233.08 | — |
| Aetna | ASA | $249.73 | — |
| United | GlobalBenefitPlanAppendix | $374.60 | — |
| Beacon Health Options | COMM | $416.22 | — |
| Plotkin Health | COMM | $416.22 | — |
| Prime Health Sheriff | COMM | $416.22 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $499.46 | — |
| Multiplan | PRIMARYPPO | $624.33 | — |
| Evernorth | BHCOMM | $665.95 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $707.57 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $707.57 | — |
| Multiplan | COMPLEMENTARYPPO | $707.57 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $765.84 | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Pt evaluation high complexity patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $384.35 | $95.26 – $167.35 |
| Adventhealth Lake Wales | Lake Wales | $589.05 | $100.27 – $222.60 |
| Adventhealth Palm Coast Parkway | Palm Coast | $448.92 | not published |
| Adventhealth Tampa | Tampa | $750.11 | $100.27 – $222.60 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $667.18 | $95.26 – $219.04 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,109.00 | $67.58 – $101.38 |
| Adventhealth Port Charlotte | Port Charlotte | $845.68 | not published |
| cleveland clinic florida weston hospital | Weston | $491.40 | $68.99 – $642.60 |