Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes 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.
$25.00 with Optimum Healthcare vs $267.88 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 | $25.00 | — |
| Hospice Community | FED | $34.35 | — |
| Hospice Community | MCR | $34.35 | — |
| United | OptionsPPO | $35.72 | — |
| AvMed | HIX | $35.72 | — |
| Simply Healthcare | HIX | $37.80 | — |
| Hospice Haven | MCR | $38.64 | — |
| Veterans Evaluation Services | MCR | $42.94 | — |
| United | VACCN | $42.94 | — |
| Devoted Health | MCR | $42.94 | — |
| NDMS Definitive Care | MGMCR | $42.94 | — |
| United Behavioral Health | VACCN | $42.94 | — |
| Humana | MGMCRHMO | $42.94 | — |
| CarePlus | MGMCR | $42.94 | — |
| Humana | MGMCRPPO | $42.94 | — |
| WellMed | MGMCRTier2 | $43.15 | — |
| WellMed | MGMCRTier1 | $43.15 | — |
| WellMed | MGMCRTier3 | $43.15 | — |
| United | MCR | $43.79 | — |
| BCBS | MCRHMO | $43.79 | — |
| BCBS | MCRPPO | $43.79 | — |
| Sunshine State | MCR | $45.08 | — |
| WellCare | MCR | $45.08 | — |
| American Health Plan | MCR | $45.51 | — |
| Simply Healthcare | MGMCR | $45.84 | — |
| Cigna Healthspring | MCR | $45.94 | — |
| Florida Complete Care | MGMCR | $45.94 | — |
| Gold Kidney | MGMCR | $46.80 | — |
| Oscar | HIX | $47.62 | — |
| Humana | TRICARE | $48.23 | — |
| Longevity | MCR | $51.52 | — |
| Clay County Sheriffs Office | LOGOV | $53.67 | — |
| CorVel Corporation | WORKERSCOMP | $55.10 | — |
| Prime Health | WORKERSCOMP | $56.26 | — |
| Positive Healthcare | MCR | $65.48 | — |
| AvMed | HMOFI | $68.46 | — |
| Cigna | NBN | $71.14 | — |
| Sunshine State Health Plan | QHP | $75.90 | — |
| Molina Healthcare | HIX | $80.37 | — |
| AvMed | ASOEO | $83.34 | — |
| Cigna | PPO | $84.23 | — |
| Cigna | OAP | $84.23 | — |
| Aetna | ASA | $89.30 | — |
| Humana | PPO | $122.04 | — |
| Humana | HMO | $122.04 | — |
| MD Medicare Choice | MCRHMO | $133.94 | — |
| United | GlobalBenefitPlanAppendix | $133.94 | — |
| Plotkin Health | COMM | $148.82 | — |
| MultiPlan | PRIMARYNETWORK | $232.17 | — |
| Evernorth | COMM | $238.12 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $238.12 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $253.00 | — |
| PPO Next | COMM | $253.00 | — |
| Evolutions Healthcare | TRADITIONALPPO | $253.00 | — |
| PPO Next | PPO | $253.00 | — |
| NovaNet | COMM | $267.88 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes 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 | $46.78 – $120.58 |
| Adventhealth Daytona Beach | Daytona Beach | $146.42 | $46.35 – $81.43 |
| Adventhealth Lake Wales | Lake Wales | $297.69 | $48.79 – $108.31 |
| Adventhealth Palm Coast Parkway | Palm Coast | $110.07 | not published |
| Adventhealth Tampa | Tampa | $314.28 | $48.79 – $108.31 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $178.70 | $46.35 – $106.58 |
| Adventhealth Port Charlotte | Port Charlotte | $414.84 | not published |
| cleveland clinic florida weston hospital | Weston | $260.00 | $20.97 – $340.00 |