Diffusing capacity at HCA FLORIDA ORANGE PARK HOSPITAL
2560 BLANDING BLVD, MIDDLEBURG, FL · HCA Florida Healthcare · · NPI 1689611501
$2,268.00
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.
$2,268.00
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.
$47.50 with CorVel Corporation vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $47.50 | ↓ -98% |
| Prime Health | WORKERSCOMP | $48.50 | ↓ -98% |
| BCBS | MCRHMO | $120.20 | ↓ -95% |
| BCBS | MCRPPO | $120.20 | ↓ -95% |
| Optimum Healthcare | MGMCR | $190.51 | ↓ -92% |
| BCBS | MBN | $240.41 | ↓ -89% |
| United | OptionsPPO | $272.16 | ↓ -88% |
| AvMed | HIX | $272.16 | ↓ -88% |
| Simply Healthcare | HIX | $288.04 | ↓ -87% |
| BCBS | SBN | $301.64 | ↓ -87% |
| BCBS | HMO | $301.64 | ↓ -87% |
| BCBS | PPO | $317.52 | ↓ -86% |
| BCBS | NWB | $317.52 | ↓ -86% |
| Simply Healthcare | MGMCR | $349.27 | ↓ -85% |
| Oscar | HIX | $362.88 | ↓ -84% |
| Aetna | QHP | $390.10 | ↓ -83% |
| Aetna | HMO | $442.26 | ↓ -81% |
| Aetna | PPO | $442.26 | ↓ -81% |
| Positive Healthcare | MCR | $498.96 | ↓ -78% |
| AvMed | HMOFI | $521.64 | ↓ -77% |
| Cigna | NBN | $542.05 | ↓ -76% |
| BCBS | BSLNON-PAR | $546.59 | ↓ -76% |
| BCBS | PHS | $546.59 | ↓ -76% |
| Sunshine State Health Plan | QHP | $578.34 | ↓ -75% |
| Molina Healthcare | HIX | $612.36 | ↓ -73% |
| AvMed | ASOEO | $635.04 | ↓ -72% |
| Cigna | PPO | $641.84 | ↓ -72% |
| Cigna | OAP | $641.84 | ↓ -72% |
| Aetna | ASA | $680.40 | ↓ -70% |
| Humana | HMO | $929.88 | ↓ -59% |
| Humana | PPO | $929.88 | ↓ -59% |
| MD Medicare Choice | MCRHMO | $1,020.60 | ↓ -55% |
| United | GlobalBenefitPlanAppendix | $1,020.60 | ↓ -55% |
| Plotkin Health | COMM | $1,134.00 | ↓ -50% |
| MultiPlan | PRIMARYNETWORK | $1,769.04 | ↓ -22% |
| Evolutions Healthcare | MANAGEDCAREPPO | $1,814.40 | ↓ -20% |
| Evernorth | COMM | $1,814.40 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $1,927.80 | ↓ -15% |
| MultiPlan | COMPLEMENTARYNETWORK | $1,927.80 | ↓ -15% |
| PPO Next | PPO | $1,927.80 | ↓ -15% |
| PPO Next | COMM | $1,927.80 | ↓ -15% |
| NovaNet | COMM | $2,041.20 | ↓ -10% |
| United Behavioral Health | VACCN | $2,268.00 | ↑ +0% |
| American Health Plan | MCR | $15,000.00 | ↑ +561% |
Visitor-reported prices
Comments
Diffusing capacity at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $462.13 | $108.38 – $108.38 |
| Adventhealth Daytona Beach | Daytona Beach | $361.39 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $331.76 | not published |
| Adventhealth Tampa | Tampa | $646.29 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $547.14 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $683.00 | $47.50 – $48.50 |
| Adventhealth Port Charlotte | Port Charlotte | $731.24 | not published |
| cleveland clinic florida weston hospital | Weston | $540.80 | $6.96 – $642.60 |