Ph1 assmt&mgmt nqhp 11-20 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.
$11.13 with Optimum Healthcare vs $119.29 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 | $11.13 | — |
| AvMed | HIX | $15.90 | — |
| United | OptionsPPO | $15.90 | — |
| Simply Healthcare | HIX | $16.83 | — |
| Humana | TRICARE | $18.69 | — |
| Hospice Community | FED | $20.04 | — |
| Hospice Community | MCR | $20.04 | — |
| Simply Healthcare | MGMCR | $20.41 | — |
| Oscar | HIX | $21.21 | — |
| Hospice Haven | MCR | $22.55 | — |
| Aetna | QHP | $22.80 | — |
| Veterans Evaluation Services | MCR | $25.05 | — |
| Humana | MGMCRHMO | $25.05 | — |
| Humana | MGMCRPPO | $25.05 | — |
| NDMS Definitive Care | MGMCR | $25.05 | — |
| United Behavioral Health | VACCN | $25.05 | — |
| Devoted Health | MCR | $25.05 | — |
| CarePlus | MGMCR | $25.05 | — |
| United | VACCN | $25.05 | — |
| WellMed | MGMCRTier3 | $25.18 | — |
| WellMed | MGMCRTier2 | $25.18 | — |
| WellMed | MGMCRTier1 | $25.18 | — |
| BCBS | MCRHMO | $25.55 | — |
| United | MCR | $25.55 | — |
| BCBS | MCRPPO | $25.55 | — |
| Aetna | PPO | $25.85 | — |
| Aetna | HMO | $25.85 | — |
| WellCare | MCR | $26.30 | — |
| Sunshine State | MCR | $26.30 | — |
| American Health Plan | MCR | $26.55 | — |
| Cigna Healthspring | MCR | $26.80 | — |
| Florida Complete Care | MGMCR | $26.80 | — |
| Gold Kidney | MGMCR | $27.30 | — |
| Positive Healthcare | MCR | $29.16 | — |
| Longevity | MCR | $30.06 | — |
| AvMed | HMOFI | $30.48 | — |
| Clay County Sheriffs Office | LOGOV | $31.31 | — |
| Cigna | NBN | $31.68 | — |
| Sunshine State Health Plan | QHP | $33.80 | — |
| Molina Healthcare | HIX | $35.79 | — |
| AvMed | ASOEO | $37.11 | — |
| Cigna | OAP | $37.51 | — |
| Cigna | PPO | $37.51 | — |
| Aetna | ASA | $39.76 | — |
| Humana | HMO | $54.34 | — |
| Humana | PPO | $54.34 | — |
| United | GlobalBenefitPlanAppendix | $59.64 | — |
| MD Medicare Choice | MCRHMO | $59.64 | — |
| Plotkin Health | COMM | $66.27 | — |
| MultiPlan | PRIMARYNETWORK | $103.38 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $106.03 | — |
| Evernorth | COMM | $106.03 | — |
| PPO Next | COMM | $112.66 | — |
| Evolutions Healthcare | TRADITIONALPPO | $112.66 | — |
| PPO Next | PPO | $112.66 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $112.66 | — |
| NovaNet | COMM | $119.29 | — |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 11-20 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 | $23.10 – $59.53 |
| cleveland clinic florida weston hospital | Weston | $130.00 | $20.72 – $150.00 |
| martin north hospital | Stuart | $169.00 | $18.94 – $150.00 |
| indian river hospital | Vero Beach | $169.00 | $20.72 – $208.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $18.69 – $30.06 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $18.13 – $36.32 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $18.55 – $37.25 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $22.86 – $59.53 |