Nqhp ol dig assmt&mgmt 5-10 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4.81 with Optimum Healthcare vs $51.55 with NovaNet — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $4.81 | — |
| United | OptionsPPO | $6.87 | — |
| AvMed | HIX | $6.87 | — |
| Simply Healthcare | HIX | $7.27 | — |
| Simply Healthcare | MGMCR | $8.82 | — |
| Oscar | HIX | $9.16 | — |
| Aetna | QHP | $9.85 | — |
| Hospice Community | FED | $9.89 | — |
| Hospice Community | MCR | $9.89 | — |
| Hospice Haven | MCR | $11.12 | — |
| Aetna | HMO | $11.17 | — |
| Aetna | PPO | $11.17 | — |
| Humana | MGMCRPPO | $12.36 | — |
| CarePlus | MGMCR | $12.36 | — |
| Veterans Evaluation Services | MCR | $12.36 | — |
| United Behavioral Health | VACCN | $12.36 | — |
| United | VACCN | $12.36 | — |
| Humana | MGMCRHMO | $12.36 | — |
| NDMS Definitive Care | MGMCR | $12.36 | — |
| Devoted Health | MCR | $12.36 | — |
| WellMed | MGMCRTier1 | $12.42 | — |
| WellMed | MGMCRTier2 | $12.42 | — |
| WellMed | MGMCRTier3 | $12.42 | — |
| Positive Healthcare | MCR | $12.60 | — |
| BCBS | MCRHMO | $12.61 | — |
| United | MCR | $12.61 | — |
| BCBS | MCRPPO | $12.61 | — |
| Sunshine State | MCR | $12.98 | — |
| WellCare | MCR | $12.98 | — |
| American Health Plan | MCR | $13.10 | — |
| AvMed | HMOFI | $13.17 | — |
| Florida Complete Care | MGMCR | $13.23 | — |
| Cigna Healthspring | MCR | $13.23 | — |
| Gold Kidney | MGMCR | $13.47 | — |
| Cigna | NBN | $13.69 | — |
| Sunshine State Health Plan | QHP | $14.61 | — |
| Longevity | MCR | $14.83 | — |
| Clay County Sheriffs Office | LOGOV | $15.45 | — |
| Molina Healthcare | HIX | $15.47 | — |
| AvMed | ASOEO | $16.04 | — |
| Cigna | PPO | $16.21 | — |
| Cigna | OAP | $16.21 | — |
| Aetna | ASA | $17.18 | — |
| Humana | PPO | $23.48 | — |
| Humana | HMO | $23.48 | — |
| MD Medicare Choice | MCRHMO | $25.78 | — |
| United | GlobalBenefitPlanAppendix | $25.78 | — |
| Plotkin Health | COMM | $28.64 | — |
| MultiPlan | PRIMARYNETWORK | $44.68 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $45.82 | — |
| Evernorth | COMM | $45.82 | — |
| Evolutions Healthcare | TRADITIONALPPO | $48.69 | — |
| PPO Next | PPO | $48.69 | — |
| PPO Next | COMM | $48.69 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $48.69 | — |
| NovaNet | COMM | $51.55 | — |
Visitor-reported prices
Comments
Nqhp ol dig assmt&mgmt 5-10 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 | $10.96 – $28.25 |
| cleveland clinic florida weston hospital | Weston | $42.25 | $10.70 – $65.00 |
| martin north hospital | Stuart | $42.25 | $10.70 – $65.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $9.89 – $14.83 |
| indian river hospital | Vero Beach | not published | $14.49 – $21.04 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $12.36 – $17.92 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $12.05 – $18.39 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $10.85 – $28.25 |