Electrophysiology evaluation at HCA FLORIDA ORANGE PARK HOSPITAL
2560 BLANDING BLVD, MIDDLEBURG, FL · HCA Florida Healthcare · · NPI 1689611501
$36,341.14
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.
$36,341.14
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.
$1,926.08 with BCBS vs $38,807.00 with AvMed — 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 | MCRPPO | $1,926.08 | ↓ -95% |
| BCBS | MCRHMO | $1,926.08 | ↓ -95% |
| United | OptionsPPO | $4,360.94 | ↓ -88% |
| MD Medicare Choice | MCRHMO | $6,950.00 | ↓ -81% |
| United | AllPayerAppendix | $7,225.00 | ↓ -80% |
| Optimum Healthcare | MGMCR | $7,650.00 | ↓ -79% |
| Molina Healthcare | HIX | $8,010.00 | ↓ -78% |
| Positive Healthcare | MCR | $8,300.00 | ↓ -77% |
| CorVel Corporation | WORKERSCOMP | $8,444.65 | ↓ -77% |
| Prime Health | WORKERSCOMP | $8,622.44 | ↓ -76% |
| Sunshine State Health Plan | QHP | $10,254.00 | ↓ -72% |
| Aetna | ASA | $10,902.34 | ↓ -70% |
| American Health Plan | MCR | $15,000.00 | ↓ -59% |
| United | GlobalBenefitPlanAppendix | $16,353.51 | ↓ -55% |
| Cigna | NBN | $16,521.00 | ↓ -55% |
| BCBS | PHS | $17,127.00 | ↓ -53% |
| BCBS | BSLNON-PAR | $17,127.00 | ↓ -53% |
| Plotkin Health | COMM | $18,170.57 | ↓ -50% |
| BCBS | MBN | $18,637.00 | ↓ -49% |
| Cigna | PPO | $21,815.00 | ↓ -40% |
| Cigna | OAP | $21,815.00 | ↓ -40% |
| AvMed | HIX | $22,295.00 | ↓ -39% |
| BCBS | SBN | $23,121.00 | ↓ -36% |
| BCBS | HMO | $23,121.00 | ↓ -36% |
| BCBS | NWB | $26,612.00 | ↓ -27% |
| BCBS | PPO | $26,612.00 | ↓ -27% |
| MultiPlan | PRIMARYNETWORK | $28,346.09 | ↓ -22% |
| Evolutions Healthcare | MANAGEDCAREPPO | $29,072.91 | ↓ -20% |
| Evernorth | COMM | $29,072.91 | ↓ -20% |
| Simply Healthcare | HIX | $30,461.00 | ↓ -16% |
| Evolutions Healthcare | TRADITIONALPPO | $30,889.97 | ↓ -15% |
| PPO Next | COMM | $30,889.97 | ↓ -15% |
| PPO Next | PPO | $30,889.97 | ↓ -15% |
| MultiPlan | COMPLEMENTARYNETWORK | $30,889.97 | ↓ -15% |
| Oscar | HIX | $32,645.00 | ↓ -10% |
| NovaNet | COMM | $32,707.03 | ↓ -10% |
| AvMed | HMOFI | $35,328.00 | ↓ -3% |
| United Behavioral Health | VACCN | $36,341.14 | ↑ +0% |
| Humana | HMO | $38,529.00 | ↑ +6% |
| Humana | PPO | $38,529.00 | ↑ +6% |
| AvMed | ASOEO | $38,807.00 | ↑ +7% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | not published | $17,588.18 – $24,882.00 |
| Adventhealth Daytona Beach | Daytona Beach | $6,594.98 | not published |
| Adventhealth Tampa | Tampa | $27,820.68 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $38,984.00 | $8,444.65 – $8,622.44 |
| Adventhealth Port Charlotte | Port Charlotte | $31,993.78 | not published |
| cleveland clinic florida weston hospital | Weston | $12,281.75 | $33.31 – $19,642.00 |
| martin north hospital | Stuart | $11,852.75 | $392.44 – $16,407.00 |
| indian river hospital | Vero Beach | $11,852.75 | $253.14 – $14,588.00 |