_afb org id by sequencing rflx ast-sendout at HCA FLORIDA ORANGE PARK HOSPITAL
2560 BLANDING BLVD, MIDDLEBURG, FL · HCA Florida Healthcare · · NPI 1689611501
$92.66
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.
$92.66
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.
$7.78 with Optimum Healthcare vs $224.51 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 |
|---|---|---|---|
| Optimum Healthcare | MGMCR | $7.78 | ↓ -92% |
| AvMed | HIX | $11.12 | ↓ -88% |
| United | OptionsPPO | $11.12 | ↓ -88% |
| Simply Healthcare | MGMCR | $14.27 | ↓ -85% |
| Positive Healthcare | MCR | $20.39 | ↓ -78% |
| AvMed | HMOFI | $21.31 | ↓ -77% |
| Sunshine State Health Plan | QHP | $23.63 | ↓ -74% |
| Molina Healthcare | HIX | $25.02 | ↓ -73% |
| AvMed | ASOEO | $25.94 | ↓ -72% |
| Aetna | ASA | $27.80 | ↓ -70% |
| Humana | PPO | $37.99 | ↓ -59% |
| Humana | HMO | $37.99 | ↓ -59% |
| United | GlobalBenefitPlanAppendix | $41.70 | ↓ -55% |
| MD Medicare Choice | MCRHMO | $41.70 | ↓ -55% |
| Plotkin Health | COMM | $46.33 | ↓ -50% |
| MultiPlan | PRIMARYNETWORK | $72.27 | ↓ -22% |
| Evolutions Healthcare | MANAGEDCAREPPO | $74.13 | ↓ -20% |
| Evernorth | COMM | $74.13 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $78.76 | ↓ -15% |
| PPO Next | PPO | $78.76 | ↓ -15% |
| PPO Next | COMM | $78.76 | ↓ -15% |
| MultiPlan | COMPLEMENTARYNETWORK | $78.76 | ↓ -15% |
| NovaNet | COMM | $83.39 | ↓ -10% |
| Hospice Community | MCR | $92.29 | ↓ -0% |
| Hospice Community | FED | $92.29 | ↓ -0% |
| Hospice Haven | MCR | $103.82 | ↑ +12% |
| Humana | TRICARE | $107.79 | ↑ +16% |
| United | AllPayerAppendix | $115.36 | ↑ +24% |
| Veterans Evaluation Services | MCR | $115.36 | ↑ +24% |
| CarePlus | MGMCR | $115.36 | ↑ +24% |
| United | VACCN | $115.36 | ↑ +24% |
| Humana | MGMCRHMO | $115.36 | ↑ +24% |
| United Behavioral Health | VACCN | $115.36 | ↑ +24% |
| Devoted Health | MCR | $115.36 | ↑ +24% |
| Humana | MGMCRPPO | $115.36 | ↑ +24% |
| NDMS Definitive Care | MGMCR | $115.36 | ↑ +24% |
| WellMed | MGMCRTier1 | $115.94 | ↑ +25% |
| WellMed | MGMCRTier2 | $115.94 | ↑ +25% |
| WellMed | MGMCRTier3 | $115.94 | ↑ +25% |
| BCBS | MCRPPO | $117.67 | ↑ +27% |
| BCBS | MCRHMO | $117.67 | ↑ +27% |
| United | MCR | $117.67 | ↑ +27% |
| WellCare | MCR | $121.13 | ↑ +31% |
| Sunshine State | MCR | $121.13 | ↑ +31% |
| American Health Plan | MCR | $122.28 | ↑ +32% |
| Cigna Healthspring | MCR | $123.44 | ↑ +33% |
| Florida Complete Care | MGMCR | $123.44 | ↑ +33% |
| Gold Kidney | MGMCR | $125.74 | ↑ +36% |
| Longevity | MCR | $138.43 | ↑ +49% |
| Simply Healthcare | HIX | $143.05 | ↑ +54% |
| Clay County Sheriffs Office | LOGOV | $144.20 | ↑ +56% |
| Oscar | HIX | $167.27 | ↑ +81% |
| CorVel Corporation | WORKERSCOMP | $219.88 | ↑ +137% |
| Prime Health | WORKERSCOMP | $224.51 | ↑ +142% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $45.88 | $101.52 – $288.40 |
| Adventhealth Daytona Beach | Daytona Beach | $317.96 | $109.59 – $192.54 |
| Adventhealth Lake Wales | Lake Wales | $381.55 | $115.36 – $256.10 |
| Adventhealth Palm Coast Parkway | Palm Coast | $317.96 | $109.59 – $246.40 |
| Adventhealth Tampa | Tampa | $1,780.58 | $115.36 – $256.10 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $295.94 | $109.59 – $252.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $76.00 | $92.29 – $224.51 |
| Adventhealth Port Charlotte | Port Charlotte | $770.20 | $115.36 – $210.65 |