Nqhp ol dig assmt&mgmt 21+ 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.
$13.78 with Optimum Healthcare vs $147.59 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 |
|---|---|---|---|
| Optimum Healthcare | MGMCR | $13.78 | — |
| United | OptionsPPO | $19.68 | — |
| AvMed | HIX | $19.68 | — |
| Simply Healthcare | HIX | $20.83 | — |
| Simply Healthcare | MGMCR | $25.25 | — |
| Oscar | HIX | $26.24 | — |
| Hospice Community | FED | $27.56 | — |
| Hospice Community | MCR | $27.56 | — |
| Aetna | QHP | $28.21 | — |
| Hospice Haven | MCR | $31.01 | — |
| Aetna | HMO | $31.98 | — |
| Aetna | PPO | $31.98 | — |
| Humana | MGMCRPPO | $34.45 | — |
| CarePlus | MGMCR | $34.45 | — |
| Veterans Evaluation Services | MCR | $34.45 | — |
| United Behavioral Health | VACCN | $34.45 | — |
| United | VACCN | $34.45 | — |
| Humana | MGMCRHMO | $34.45 | — |
| NDMS Definitive Care | MGMCR | $34.45 | — |
| Devoted Health | MCR | $34.45 | — |
| WellMed | MGMCRTier1 | $34.62 | — |
| WellMed | MGMCRTier2 | $34.62 | — |
| WellMed | MGMCRTier3 | $34.62 | — |
| BCBS | MCRPPO | $35.14 | — |
| BCBS | MCRHMO | $35.14 | — |
| United | MCR | $35.14 | — |
| Positive Healthcare | MCR | $36.08 | — |
| Sunshine State | MCR | $36.17 | — |
| WellCare | MCR | $36.17 | — |
| American Health Plan | MCR | $36.52 | — |
| Florida Complete Care | MGMCR | $36.86 | — |
| Cigna Healthspring | MCR | $36.86 | — |
| Gold Kidney | MGMCR | $37.55 | — |
| AvMed | HMOFI | $37.72 | — |
| Cigna | NBN | $39.19 | — |
| Longevity | MCR | $41.34 | — |
| Sunshine State Health Plan | QHP | $41.82 | — |
| Clay County Sheriffs Office | LOGOV | $43.06 | — |
| Molina Healthcare | HIX | $44.28 | — |
| AvMed | ASOEO | $45.92 | — |
| Cigna | PPO | $46.41 | — |
| Cigna | OAP | $46.41 | — |
| Aetna | ASA | $49.20 | — |
| Humana | PPO | $67.24 | — |
| Humana | HMO | $67.24 | — |
| MD Medicare Choice | MCRHMO | $73.80 | — |
| United | GlobalBenefitPlanAppendix | $73.80 | — |
| Plotkin Health | COMM | $82.00 | — |
| MultiPlan | PRIMARYNETWORK | $127.91 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $131.19 | — |
| Evernorth | COMM | $131.19 | — |
| Evolutions Healthcare | TRADITIONALPPO | $139.39 | — |
| PPO Next | PPO | $139.39 | — |
| PPO Next | COMM | $139.39 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $139.39 | — |
| NovaNet | COMM | $147.59 | — |
Visitor-reported prices
Comments
Nqhp ol dig assmt&mgmt 21+ 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 | $31.29 – $80.65 |
| cleveland clinic florida weston hospital | Weston | $78.00 | $30.08 – $90.00 |
| martin north hospital | Stuart | $78.00 | $30.08 – $90.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $27.56 – $41.34 |
| indian river hospital | Vero Beach | not published | $40.46 – $59.64 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $34.45 – $49.95 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $33.58 – $51.26 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $30.97 – $80.65 |