Pinworm exam at HCA FLORIDA ORANGE PARK HOSPITAL
2560 BLANDING BLVD, MIDDLEBURG, FL · HCA Florida Healthcare · · NPI 1689611501
$45.14
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.
$45.14
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.
$3.42 with Hospice Community vs $102.94 with Prime Health — 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 |
|---|---|---|---|
| Hospice Community | MCR | $3.42 | ↓ -92% |
| Hospice Community | FED | $3.42 | ↓ -92% |
| Optimum Healthcare | MGMCR | $3.79 | ↓ -92% |
| Hospice Haven | MCR | $3.84 | ↓ -91% |
| Humana | TRICARE | $3.99 | ↓ -91% |
| Humana | MGMCRPPO | $4.27 | ↓ -91% |
| United | VACCN | $4.27 | ↓ -91% |
| Humana | MGMCRHMO | $4.27 | ↓ -91% |
| United Behavioral Health | VACCN | $4.27 | ↓ -91% |
| NDMS Definitive Care | MGMCR | $4.27 | ↓ -91% |
| United | AllPayerAppendix | $4.27 | ↓ -91% |
| CarePlus | MGMCR | $4.27 | ↓ -91% |
| Veterans Evaluation Services | MCR | $4.27 | ↓ -91% |
| Devoted Health | MCR | $4.27 | ↓ -91% |
| WellMed | MGMCRTier3 | $4.29 | ↓ -90% |
| WellMed | MGMCRTier2 | $4.29 | ↓ -90% |
| WellMed | MGMCRTier1 | $4.29 | ↓ -90% |
| BCBS | MCRPPO | $4.36 | ↓ -90% |
| United | MCR | $4.36 | ↓ -90% |
| BCBS | MCRHMO | $4.36 | ↓ -90% |
| Sunshine State | MCR | $4.48 | ↓ -90% |
| WellCare | MCR | $4.48 | ↓ -90% |
| American Health Plan | MCR | $4.53 | ↓ -90% |
| Cigna Healthspring | MCR | $4.57 | ↓ -90% |
| Florida Complete Care | MGMCR | $4.57 | ↓ -90% |
| Gold Kidney | MGMCR | $4.65 | ↓ -90% |
| Longevity | MCR | $5.12 | ↓ -89% |
| Simply Healthcare | HIX | $5.29 | ↓ -88% |
| Clay County Sheriffs Office | LOGOV | $5.34 | ↓ -88% |
| United | OptionsPPO | $5.42 | ↓ -88% |
| AvMed | HIX | $5.42 | ↓ -88% |
| Oscar | HIX | $6.19 | ↓ -86% |
| Simply Healthcare | MGMCR | $6.95 | ↓ -85% |
| Positive Healthcare | MCR | $9.93 | ↓ -78% |
| AvMed | HMOFI | $10.38 | ↓ -77% |
| Sunshine State Health Plan | QHP | $11.51 | ↓ -75% |
| Molina Healthcare | HIX | $12.19 | ↓ -73% |
| AvMed | ASOEO | $12.64 | ↓ -72% |
| Aetna | ASA | $13.54 | ↓ -70% |
| Humana | HMO | $18.51 | ↓ -59% |
| Humana | PPO | $18.51 | ↓ -59% |
| United | GlobalBenefitPlanAppendix | $20.31 | ↓ -55% |
| MD Medicare Choice | MCRHMO | $20.31 | ↓ -55% |
| Plotkin Health | COMM | $22.57 | ↓ -50% |
| MultiPlan | PRIMARYNETWORK | $35.21 | ↓ -22% |
| Evolutions Healthcare | MANAGEDCAREPPO | $36.11 | ↓ -20% |
| Evernorth | COMM | $36.11 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $38.37 | ↓ -15% |
| MultiPlan | COMPLEMENTARYNETWORK | $38.37 | ↓ -15% |
| PPO Next | PPO | $38.37 | ↓ -15% |
| PPO Next | COMM | $38.37 | ↓ -15% |
| NovaNet | COMM | $40.63 | ↓ -10% |
| CorVel Corporation | WORKERSCOMP | $100.81 | ↑ +123% |
| Prime Health | WORKERSCOMP | $102.94 | ↑ +128% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
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Pinworm exam at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $9.44 | $3.76 – $10.68 |
| Adventhealth Daytona Beach | Daytona Beach | $147.48 | $4.06 – $7.13 |
| Adventhealth Tampa | Tampa | $65.91 | $4.27 – $9.48 |
| Adventhealth Port Charlotte | Port Charlotte | $14.95 | $4.27 – $7.80 |
| cleveland clinic florida weston hospital | Weston | $29.90 | $2.56 – $46.00 |
| martin north hospital | Stuart | $29.90 | $2.56 – $46.00 |
| indian river hospital | Vero Beach | $23.40 | $4.02 – $28.80 |
| Baptist Hospital | MIAMI | $171.60 | $4.27 – $237.60 |