Diagnostic Mammogram (both breasts) at HCA FLORIDA ORANGE PARK HOSPITAL
2560 BLANDING BLVD, MIDDLEBURG, FL · HCA Florida Healthcare · · NPI 1689611501
$1,555.98
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.
$1,555.98
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.
$84.85 with Hospice Community vs $1,400.38 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 | $84.85 | ↓ -95% |
| Hospice Community | FED | $84.85 | ↓ -95% |
| Hospice Haven | MCR | $95.45 | ↓ -94% |
| Humana | TRICARE | $102.19 | ↓ -93% |
| Devoted Health | MCR | $106.06 | ↓ -93% |
| Humana | MGMCRHMO | $106.06 | ↓ -93% |
| Humana | MGMCRPPO | $106.06 | ↓ -93% |
| CarePlus | MGMCR | $106.06 | ↓ -93% |
| Veterans Evaluation Services | MCR | $106.06 | ↓ -93% |
| United Behavioral Health | VACCN | $106.06 | ↓ -93% |
| NDMS Definitive Care | MGMCR | $106.06 | ↓ -93% |
| United | VACCN | $106.06 | ↓ -93% |
| WellMed | MGMCRTier1 | $106.59 | ↓ -93% |
| WellMed | MGMCRTier2 | $106.59 | ↓ -93% |
| WellMed | MGMCRTier3 | $106.59 | ↓ -93% |
| United | MCR | $108.18 | ↓ -93% |
| BCBS | MCRHMO | $108.18 | ↓ -93% |
| BCBS | MCRPPO | $108.18 | ↓ -93% |
| Sunshine State | MCR | $111.36 | ↓ -93% |
| WellCare | MCR | $111.36 | ↓ -93% |
| American Health Plan | MCR | $112.42 | ↓ -93% |
| Florida Complete Care | MGMCR | $113.48 | ↓ -93% |
| Cigna Healthspring | MCR | $113.48 | ↓ -93% |
| Gold Kidney | MGMCR | $115.61 | ↓ -93% |
| Longevity | MCR | $127.27 | ↓ -92% |
| Optimum Healthcare | MGMCR | $130.70 | ↓ -92% |
| Clay County Sheriffs Office | LOGOV | $132.57 | ↓ -91% |
| United | OptionsPPO | $186.72 | ↓ -88% |
| AvMed | HIX | $186.72 | ↓ -88% |
| Simply Healthcare | MGMCR | $239.62 | ↓ -85% |
| United | AllPayerAppendix | $263.00 | ↓ -83% |
| Positive Healthcare | MCR | $342.32 | ↓ -78% |
| AvMed | HMOFI | $357.88 | ↓ -77% |
| Sunshine State Health Plan | QHP | $396.77 | ↓ -75% |
| Molina Healthcare | HIX | $420.11 | ↓ -73% |
| AvMed | ASOEO | $435.67 | ↓ -72% |
| Aetna | ASA | $466.79 | ↓ -70% |
| Humana | HMO | $637.95 | ↓ -59% |
| Humana | PPO | $637.95 | ↓ -59% |
| United | GlobalBenefitPlanAppendix | $700.19 | ↓ -55% |
| MD Medicare Choice | MCRHMO | $700.19 | ↓ -55% |
| Plotkin Health | COMM | $777.99 | ↓ -50% |
| MultiPlan | PRIMARYNETWORK | $1,213.66 | ↓ -22% |
| Evolutions Healthcare | MANAGEDCAREPPO | $1,244.78 | ↓ -20% |
| Evernorth | COMM | $1,244.78 | ↓ -20% |
| PPO Next | COMM | $1,322.58 | ↓ -15% |
| MultiPlan | COMPLEMENTARYNETWORK | $1,322.58 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $1,322.58 | ↓ -15% |
| PPO Next | PPO | $1,322.58 | ↓ -15% |
| NovaNet | COMM | $1,400.38 | ↓ -10% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $303.96 | $99.13 – $344.86 |
| Adventhealth Daytona Beach | Daytona Beach | $627.61 | $106.90 – $203.35 |
| Adventhealth Lake Wales | Lake Wales | $1,704.92 | $112.53 – $257.80 |
| Adventhealth Palm Coast Parkway | Palm Coast | $507.36 | $106.90 – $306.90 |
| Adventhealth Tampa | Tampa | $687.12 | $112.53 – $249.82 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $647.27 | $106.90 – $245.82 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,366.00 | $84.85 – $127.27 |
| Adventhealth Port Charlotte | Port Charlotte | $1,027.30 | $112.53 – $205.48 |