Diab manage trn ind/group 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.
$12.70 with Hospice Community vs $285.53 with NovaNet — 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 |
|---|---|---|---|
| Hospice Community | MCR | $12.70 | — |
| Hospice Community | FED | $12.70 | — |
| Hospice Haven | MCR | $14.29 | — |
| Humana | TRICARE | $14.94 | — |
| NDMS Definitive Care | MGMCR | $15.88 | — |
| Humana | MGMCRHMO | $15.88 | — |
| Humana | MGMCRPPO | $15.88 | — |
| CarePlus | MGMCR | $15.88 | — |
| Veterans Evaluation Services | MCR | $15.88 | — |
| United Behavioral Health | VACCN | $15.88 | — |
| United | VACCN | $15.88 | — |
| Devoted Health | MCR | $15.88 | — |
| WellMed | MGMCRTier3 | $15.96 | — |
| WellMed | MGMCRTier1 | $15.96 | — |
| WellMed | MGMCRTier2 | $15.96 | — |
| CorVel Corporation | WORKERSCOMP | $16.15 | — |
| BCBS | MCRPPO | $16.20 | — |
| United | MCR | $16.20 | — |
| BCBS | MCRHMO | $16.20 | — |
| Prime Health | WORKERSCOMP | $16.49 | — |
| Sunshine State | MCR | $16.67 | — |
| WellCare | MCR | $16.67 | — |
| American Health Plan | MCR | $16.83 | — |
| Cigna Healthspring | MCR | $16.99 | — |
| Florida Complete Care | MGMCR | $16.99 | — |
| Gold Kidney | MGMCR | $17.31 | — |
| Longevity | MCR | $19.06 | — |
| Clay County Sheriffs Office | LOGOV | $19.85 | — |
| Optimum Healthcare | MGMCR | $26.65 | — |
| BCBS | MBN | $33.63 | — |
| AvMed | HIX | $38.07 | — |
| United | OptionsPPO | $38.07 | — |
| Simply Healthcare | HIX | $40.29 | — |
| BCBS | HMO | $42.20 | — |
| BCBS | SBN | $42.20 | — |
| BCBS | NWB | $44.42 | — |
| BCBS | PPO | $44.42 | — |
| Simply Healthcare | MGMCR | $48.86 | — |
| Oscar | HIX | $50.76 | — |
| Aetna | QHP | $54.57 | — |
| Aetna | HMO | $61.87 | — |
| Aetna | PPO | $61.87 | — |
| Positive Healthcare | MCR | $69.80 | — |
| AvMed | HMOFI | $72.97 | — |
| Cigna | NBN | $75.83 | — |
| BCBS | BSLNON-PAR | $76.46 | — |
| BCBS | PHS | $76.46 | — |
| Sunshine State Health Plan | QHP | $80.90 | — |
| Molina Healthcare | HIX | $85.66 | — |
| AvMed | ASOEO | $88.83 | — |
| Cigna | PPO | $89.78 | — |
| Cigna | OAP | $89.78 | — |
| Aetna | ASA | $95.18 | — |
| Humana | PPO | $130.08 | — |
| Humana | HMO | $130.08 | — |
| United | GlobalBenefitPlanAppendix | $142.77 | — |
| MD Medicare Choice | MCRHMO | $142.77 | — |
| Plotkin Health | COMM | $158.63 | — |
| MultiPlan | PRIMARYNETWORK | $247.46 | — |
| Evernorth | COMM | $253.81 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $253.81 | — |
| Evolutions Healthcare | TRADITIONALPPO | $269.67 | — |
| PPO Next | PPO | $269.67 | — |
| PPO Next | COMM | $269.67 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $269.67 | — |
| NovaNet | COMM | $285.53 | — |
Visitor-reported prices
Comments
Diab manage trn ind/group at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $78.88 | $16.00 – $28.11 |
| Adventhealth Tampa | Tampa | $143.50 | $16.84 – $37.38 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $40.51 | $16.00 – $36.79 |
| Adventhealth Port Charlotte | Port Charlotte | $174.74 | not published |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $144.84 | $14.49 – $23.03 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $103.00 | $14.98 – $23.78 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $189.92 | $14.49 – $17.47 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $312.75 | $14.49 – $23.03 |