X-ray of mammary ducts 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.
$195.19 with Access 2 Healthcare Physicians Freedom Optimum Group Members vs $3,820.82 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 | $195.19 | — |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $249.18 | — |
| Access 2 Healthcare Physicians Optimum | MGMCR | $249.18 | — |
| Optimum Healthcare | PFFS | $269.95 | — |
| Optimum Healthcare | MCRHMO | $269.95 | — |
| Freedom Health Care | MGMGR | $269.95 | — |
| Optimum Healthcare | MCRPPO | $269.95 | — |
| AvMed | HIX | $332.24 | — |
| United | AllPayerAppendix | $517.79 | — |
| United | OptionsPPO | $681.10 | — |
| Molina | MGMCR | $789.08 | — |
| AvMed | HMOFI | $913.67 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $955.20 | — |
| AvMed | ASOEO | $1,038.27 | — |
| Sunshine State Health Plan | QHP | $1,059.03 | — |
| Molina | HIX | $1,121.33 | — |
| Humana | PPO | $1,162.86 | — |
| Humana | HMO | $1,162.86 | — |
| Aetna | ASA | $1,245.92 | — |
| United | GlobalBenefitPlanAppendix | $1,868.88 | — |
| Beacon Health Options | COMM | $2,076.53 | — |
| Prime Health Sheriff | COMM | $2,076.53 | — |
| Plotkin Health | COMM | $2,076.53 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $2,491.84 | — |
| Multiplan | PRIMARYPPO | $3,114.80 | — |
| Evernorth | BHCOMM | $3,322.45 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $3,530.10 | — |
| Multiplan | COMPLEMENTARYPPO | $3,530.10 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $3,530.10 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $3,820.82 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
X-ray of mammary ducts at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $1,025.07 | $249.17 – $454.98 |
| cleveland clinic florida weston hospital | Weston | $1,472.25 | $18.89 – $1,772.25 |
| martin north hospital | Stuart | $1,355.25 | $16.90 – $1,042.50 |
| indian river hospital | Vero Beach | $1,355.25 | $17.37 – $1,668.00 |
| Baptist Hospital | MIAMI | $776.75 | $73.69 – $1,075.50 |
| Boca Raton Regional Hospital | BOCA RATON | $739.05 | $244.69 – $742.46 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $776.75 | $71.44 – $1,075.50 |
| Fishermens Community Hospital | MARATHON | $776.75 | $71.44 – $1,075.50 |