Analysis tumor at HCA FLORIDA ORANGE PARK HOSPITAL
2560 BLANDING BLVD, MIDDLEBURG, FL · HCA Florida Healthcare · · NPI 1689611501
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.
$2.89 with Optimum Healthcare vs $280.39 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 | $2.89 | — |
| United | OptionsPPO | $4.13 | — |
| AvMed | HIX | $4.13 | — |
| Simply Healthcare | HIX | $4.38 | — |
| Simply Healthcare | MGMCR | $5.31 | — |
| Oscar | HIX | $5.51 | — |
| Positive Healthcare | MCR | $7.58 | — |
| AvMed | HMOFI | $7.92 | — |
| Sunshine State Health Plan | QHP | $8.78 | — |
| Molina Healthcare | HIX | $9.30 | — |
| AvMed | ASOEO | $9.65 | — |
| Aetna | ASA | $10.34 | — |
| Humana | HMO | $14.12 | — |
| Humana | PPO | $14.12 | — |
| MD Medicare Choice | MCRHMO | $15.50 | — |
| United | GlobalBenefitPlanAppendix | $15.50 | — |
| Plotkin Health | COMM | $17.23 | — |
| MultiPlan | PRIMARYNETWORK | $26.87 | — |
| Evernorth | COMM | $27.56 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $27.56 | — |
| Evolutions Healthcare | TRADITIONALPPO | $29.28 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $29.28 | — |
| PPO Next | COMM | $29.28 | — |
| PPO Next | PPO | $29.28 | — |
| NovaNet | COMM | $31.01 | — |
| United | AllPayerAppendix | $149.16 | — |
| CorVel Corporation | WORKERSCOMP | $274.61 | — |
| Prime Health | WORKERSCOMP | $280.39 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Analysis tumor at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $57.72 | $69.85 – $352.62 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,174.00 | $149.16 – $280.39 |
| Baptist Hospital | MIAMI | $608.40 | $101.78 – $842.40 |
| Bethesda Hospital East | BOYNTON BEACH | $608.40 | $101.78 – $842.40 |
| Doctors Hospital | CORAL GABLES | $608.40 | $98.66 – $842.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $608.40 | $98.66 – $842.40 |
| Homestead Hospital | HOMESTEAD | $608.40 | $98.66 – $842.40 |
| West Kendall Baptist Hospital | MIAMI | $608.40 | $98.66 – $842.40 |