Pretreat rbc w chem/drugs reference 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.
$5.19 with Optimum Healthcare vs $81.37 with Prime Health — 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 | $5.19 | — |
| United | OptionsPPO | $7.41 | — |
| AvMed | HIX | $7.41 | — |
| Simply Healthcare | HIX | $7.85 | — |
| Simply Healthcare | MGMCR | $9.51 | — |
| Oscar | HIX | $9.88 | — |
| Positive Healthcare | MCR | $13.59 | — |
| AvMed | HMOFI | $14.21 | — |
| Sunshine State Health Plan | QHP | $15.75 | — |
| Molina Healthcare | HIX | $16.68 | — |
| AvMed | ASOEO | $17.30 | — |
| Aetna | ASA | $18.53 | — |
| Humana | HMO | $25.33 | — |
| Humana | PPO | $25.33 | — |
| MD Medicare Choice | MCRHMO | $27.80 | — |
| United | GlobalBenefitPlanAppendix | $27.80 | — |
| Plotkin Health | COMM | $30.89 | — |
| United | AllPayerAppendix | $33.84 | — |
| MultiPlan | PRIMARYNETWORK | $48.19 | — |
| Evernorth | COMM | $49.42 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $49.42 | — |
| PPO Next | PPO | $52.51 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $52.51 | — |
| PPO Next | COMM | $52.51 | — |
| Evolutions Healthcare | TRADITIONALPPO | $52.51 | — |
| NovaNet | COMM | $55.60 | — |
| CorVel Corporation | WORKERSCOMP | $79.70 | — |
| Prime Health | WORKERSCOMP | $81.37 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Pretreat rbc w chem/drugs reference at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $86.21 | $33.43 – $122.22 |
| Adventhealth Daytona Beach | Daytona Beach | $345.83 | $58.52 – $102.82 |
| Adventhealth Lake Wales | Lake Wales | $345.83 | $61.60 – $136.76 |
| Adventhealth Palm Coast Parkway | Palm Coast | $330.52 | $58.52 – $131.58 |
| Adventhealth Tampa | Tampa | $196.49 | $61.60 – $136.76 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $113.97 | $58.52 – $134.57 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $120.00 | $33.84 – $81.37 |
| Adventhealth Port Charlotte | Port Charlotte | $225.94 | $61.60 – $112.49 |