Microsatellite instability at HCA FLORIDA ORANGE PARK HOSPITAL
2560 BLANDING BLVD, MIDDLEBURG, FL · HCA Florida Healthcare · · NPI 1689611501
$418.18
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.
$418.18
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.
$35.13 with Optimum Healthcare vs $505.41 with Oscar — 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 |
|---|---|---|---|
| Optimum Healthcare | MGMCR | $35.13 | ↓ -92% |
| United | OptionsPPO | $50.18 | ↓ -88% |
| AvMed | HIX | $50.18 | ↓ -88% |
| Simply Healthcare | MGMCR | $64.40 | ↓ -85% |
| Positive Healthcare | MCR | $92.00 | ↓ -78% |
| AvMed | HMOFI | $96.18 | ↓ -77% |
| CorVel Corporation | WORKERSCOMP | $105.14 | ↓ -75% |
| Sunshine State Health Plan | QHP | $106.64 | ↓ -74% |
| Prime Health | WORKERSCOMP | $107.35 | ↓ -74% |
| Molina Healthcare | HIX | $112.91 | ↓ -73% |
| AvMed | ASOEO | $117.09 | ↓ -72% |
| Aetna | ASA | $125.45 | ↓ -70% |
| Humana | PPO | $171.45 | ↓ -59% |
| Humana | HMO | $171.45 | ↓ -59% |
| United | GlobalBenefitPlanAppendix | $188.18 | ↓ -55% |
| MD Medicare Choice | MCRHMO | $188.18 | ↓ -55% |
| Plotkin Health | COMM | $209.09 | ↓ -50% |
| Hospice Community | MCR | $278.85 | ↓ -33% |
| Hospice Community | FED | $278.85 | ↓ -33% |
| Hospice Haven | MCR | $313.70 | ↓ -25% |
| MultiPlan | PRIMARYNETWORK | $326.18 | ↓ -22% |
| Evernorth | COMM | $334.54 | ↓ -20% |
| Evolutions Healthcare | MANAGEDCAREPPO | $334.54 | ↓ -20% |
| Humana | MGMCRHMO | $348.56 | ↓ -17% |
| Devoted Health | MCR | $348.56 | ↓ -17% |
| United | VACCN | $348.56 | ↓ -17% |
| United | AllPayerAppendix | $348.56 | ↓ -17% |
| CarePlus | MGMCR | $348.56 | ↓ -17% |
| Veterans Evaluation Services | MCR | $348.56 | ↓ -17% |
| NDMS Definitive Care | MGMCR | $348.56 | ↓ -17% |
| Humana | MGMCRPPO | $348.56 | ↓ -17% |
| United Behavioral Health | VACCN | $348.56 | ↓ -17% |
| WellMed | MGMCRTier1 | $350.30 | ↓ -16% |
| WellMed | MGMCRTier2 | $350.30 | ↓ -16% |
| WellMed | MGMCRTier3 | $350.30 | ↓ -16% |
| PPO Next | PPO | $355.45 | ↓ -15% |
| MultiPlan | COMPLEMENTARYNETWORK | $355.45 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $355.45 | ↓ -15% |
| PPO Next | COMM | $355.45 | ↓ -15% |
| BCBS | MCRPPO | $355.53 | ↓ -15% |
| BCBS | MCRHMO | $355.53 | ↓ -15% |
| United | MCR | $355.53 | ↓ -15% |
| Sunshine State | MCR | $365.99 | ↓ -12% |
| WellCare | MCR | $365.99 | ↓ -12% |
| American Health Plan | MCR | $369.47 | ↓ -12% |
| Florida Complete Care | MGMCR | $372.96 | ↓ -11% |
| Cigna Healthspring | MCR | $372.96 | ↓ -11% |
| NovaNet | COMM | $376.36 | ↓ -10% |
| Gold Kidney | MGMCR | $379.93 | ↓ -9% |
| Longevity | MCR | $418.27 | ↑ +0% |
| Simply Healthcare | HIX | $432.21 | ↑ +3% |
| Clay County Sheriffs Office | LOGOV | $435.70 | ↑ +4% |
| Oscar | HIX | $505.41 | ↑ +21% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Microsatellite instability 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 | $306.73 – $871.40 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $196.00 | $105.14 – $505.41 |
| Adventhealth Port Charlotte | Port Charlotte | $2,327.28 | $348.56 – $636.47 |
| cleveland clinic florida weston hospital | Weston | $452.40 | $76.88 – $437.00 |
| martin north hospital | Stuart | $452.40 | $80.93 – $437.00 |
| indian river hospital | Vero Beach | $452.40 | $76.88 – $437.00 |
| Baptist Hospital | MIAMI | $1,130.35 | $83.71 – $776.70 |
| Bethesda Hospital East | BOYNTON BEACH | $1,130.35 | $83.71 – $776.70 |