Arthrp w/prostc dstl ulna 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.
$1,950.00 with Optimum Healthcare vs $42,938.00 with BCBS — 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 | $1,950.00 | — |
| Simply Healthcare | MGMCR | $2,250.00 | — |
| MD Medicare Choice | MCRHMO | $2,340.00 | — |
| Positive Healthcare | MCR | $2,450.00 | — |
| Molina Healthcare | HIX | $2,702.00 | — |
| CorVel Corporation | WORKERSCOMP | $3,936.68 | — |
| Prime Health | WORKERSCOMP | $4,019.55 | — |
| Cigna | NBN | $10,835.00 | — |
| Simply Healthcare | HIX | $12,378.00 | — |
| United | AllPayerAppendix | $14,000.00 | — |
| Cigna | PPO | $14,306.00 | — |
| Cigna | OAP | $14,306.00 | — |
| Oscar | HIX | $15,286.00 | — |
| BCBS | MBN | $16,132.00 | — |
| BCBS | SBN | $21,118.00 | — |
| BCBS | HMO | $21,118.00 | — |
| BCBS | NWB | $25,391.00 | — |
| BCBS | PPO | $25,391.00 | — |
| BCBS | PHS | $42,938.00 | — |
| BCBS | BSLNON-PAR | $42,938.00 | — |
Visitor-reported prices
Comments
Arthrp w/prostc dstl ulna at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | not published | $17,394.69 – $30,559.72 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $17,394.69 – $39,108.75 |
| Adventhealth Tampa | Tampa | not published | $863.00 – $40,648.64 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $17,394.69 – $39,998.63 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $3,936.68 – $4,019.55 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $18,310.20 – $33,434.42 |
| cleveland clinic florida weston hospital | Weston | not published | $5,660.06 – $20,141.22 |
| martin north hospital | Stuart | not published | $5,957.96 – $20,141.22 |