Surgical pathology level 5 gross & microscopic examination at HCA FLORIDA CITRUS HOSPITAL
502 W Highland Blvd, Inverness, FL · HCA Florida Healthcare · · NPI 1750780342
$2,595.45
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.
$2,595.45
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.
$121.99 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $2,387.81 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 | $121.99 | ↓ -95% |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $155.73 | ↓ -94% |
| Access 2 Healthcare Physicians Optimum | MGMCR | $155.73 | ↓ -94% |
| Optimum Healthcare | MCRHMO | $168.70 | ↓ -94% |
| Optimum Healthcare | PFFS | $168.70 | ↓ -94% |
| Optimum Healthcare | MCRPPO | $168.70 | ↓ -94% |
| Freedom Health Care | MGMGR | $168.70 | ↓ -94% |
| AvMed | HIX | $207.64 | ↓ -92% |
| United | AllPayerAppendix | $291.26 | ↓ -89% |
| Simply Healthcare | HIX | $329.62 | ↓ -87% |
| Oscar | HIX | $389.32 | ↓ -85% |
| United | OptionsPPO | $425.65 | ↓ -84% |
| Molina | MGMCR | $493.14 | ↓ -81% |
| AvMed | HMOFI | $571.00 | ↓ -78% |
| Rockport Healthcare Group | WORKERSCOMP | $578.64 | ↓ -78% |
| CorVel Corporation | WORKERSCOMP | $578.64 | ↓ -78% |
| Prime Health | WorkersComp | $590.83 | ↓ -77% |
| Evolutions Healthcare Systems | PrimeTier1 | $596.95 | ↓ -77% |
| AvMed | ASOEO | $648.86 | ↓ -75% |
| Sunshine State Health Plan | QHP | $661.84 | ↓ -74% |
| Molina | HIX | $700.77 | ↓ -73% |
| Humana | PPO | $726.73 | ↓ -72% |
| Humana | HMO | $726.73 | ↓ -72% |
| Aetna | ASA | $778.63 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $1,167.95 | ↓ -55% |
| Beacon Health Options | COMM | $1,297.72 | ↓ -50% |
| Plotkin Health | COMM | $1,297.72 | ↓ -50% |
| Prime Health Sheriff | COMM | $1,297.72 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $1,557.27 | ↓ -40% |
| Multiplan | PRIMARYPPO | $1,946.59 | ↓ -25% |
| Evernorth | BHCOMM | $2,076.36 | ↓ -20% |
| Multiplan | COMPLEMENTARYPPO | $2,206.13 | ↓ -15% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $2,206.13 | ↓ -15% |
| Evolutions Healthcare Systems | SELECTNETWORK | $2,206.13 | ↓ -15% |
| Evolutions Healthcare Systems | CHOICENETWORK | $2,387.81 | ↓ -8% |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $713.38 | $355.60 – $624.74 |
| Adventhealth Lake Wales | Lake Wales | $915.98 | $374.32 – $830.99 |
| Adventhealth Palm Coast Parkway | Palm Coast | $717.11 | $355.60 – $799.51 |
| Adventhealth Tampa | Tampa | $1,494.75 | $374.32 – $830.99 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $616.32 | $355.60 – $817.70 |
| Adventhealth Port Charlotte | Port Charlotte | $1,434.09 | $374.32 – $683.50 |
| cleveland clinic florida weston hospital | Weston | $444.60 | $47.77 – $684.00 |
| martin north hospital | Stuart | $445.25 | $99.69 – $684.00 |