C-1 esterase, berinert 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.
$10.88 with BCBS vs $125.17 with United — 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 |
|---|---|---|---|
| BCBS | MBN | $10.88 | — |
| AvMed | HIX | $12.31 | — |
| United | OptionsPPO | $12.31 | — |
| BCBS | HMO | $13.65 | — |
| BCBS | SBN | $13.65 | — |
| BCBS | PPO | $14.36 | — |
| BCBS | NWB | $14.36 | — |
| Simply Healthcare | MGMCR | $15.80 | — |
| AvMed | HMOFI | $23.60 | — |
| BCBS | PHS | $24.73 | — |
| BCBS | BSLNON-PAR | $24.73 | — |
| AvMed | ASOEO | $28.73 | — |
| Aetna | ASA | $30.78 | — |
| United | GlobalBenefitPlanAppendix | $46.17 | — |
| Plotkin Health | COMM | $51.30 | — |
| Humana | TRICARE | $72.27 | — |
| MultiPlan | PRIMARYNETWORK | $80.03 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $82.08 | — |
| Evernorth | COMM | $82.08 | — |
| PPO Next | COMM | $87.21 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $87.21 | — |
| Evolutions Healthcare | TRADITIONALPPO | $87.21 | — |
| PPO Next | PPO | $87.21 | — |
| NovaNet | COMM | $92.34 | — |
| United | AllPayerAppendix | $125.17 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY | $302.00 | $70.10 – $125.17 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE | $6,634.00 | $70.10 – $125.17 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH | $7,815.00 | $70.10 – $163.10 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena | $7,815.00 | $70.10 – $163.10 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $72.27 – $125.17 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $70.10 – $163.10 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $70.10 – $125.17 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $70.10 – $125.17 |