Pt re-evaluation patient/family 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.
$42.46 with Optimum Healthcare vs $454.90 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 | $42.46 | — |
| Hospice Community | MCR | $46.53 | — |
| Hospice Community | FED | $46.53 | — |
| Hospice Haven | MCR | $52.34 | — |
| United | VACCN | $58.16 | — |
| Devoted Health | MCR | $58.16 | — |
| Humana | MGMCRHMO | $58.16 | — |
| Humana | MGMCRPPO | $58.16 | — |
| Veterans Evaluation Services | MCR | $58.16 | — |
| United Behavioral Health | VACCN | $58.16 | — |
| NDMS Definitive Care | MGMCR | $58.16 | — |
| CarePlus | MGMCR | $58.16 | — |
| WellMed | MGMCRTier2 | $58.45 | — |
| WellMed | MGMCRTier3 | $58.45 | — |
| WellMed | MGMCRTier1 | $58.45 | — |
| BCBS | MCRPPO | $59.32 | — |
| United | MCR | $59.32 | — |
| BCBS | MCRHMO | $59.32 | — |
| AvMed | HIX | $60.65 | — |
| United | OptionsPPO | $60.65 | — |
| Sunshine State | MCR | $61.07 | — |
| WellCare | MCR | $61.07 | — |
| American Health Plan | MCR | $61.65 | — |
| CorVel Corporation | WORKERSCOMP | $61.75 | — |
| Cigna Healthspring | MCR | $62.23 | — |
| Florida Complete Care | MGMCR | $62.23 | — |
| Prime Health | WORKERSCOMP | $63.05 | — |
| Gold Kidney | MGMCR | $63.39 | — |
| Simply Healthcare | HIX | $64.19 | — |
| Humana | TRICARE | $65.75 | — |
| Longevity | MCR | $69.79 | — |
| Clay County Sheriffs Office | LOGOV | $72.70 | — |
| Simply Healthcare | MGMCR | $77.84 | — |
| Oscar | HIX | $80.87 | — |
| Positive Healthcare | MCR | $111.20 | — |
| AvMed | HMOFI | $116.25 | — |
| Cigna | NBN | $120.80 | — |
| Sunshine State Health Plan | QHP | $128.89 | — |
| Molina Healthcare | HIX | $136.47 | — |
| AvMed | ASOEO | $141.52 | — |
| Cigna | PPO | $143.04 | — |
| Cigna | OAP | $143.04 | — |
| Aetna | ASA | $151.63 | — |
| Humana | PPO | $207.23 | — |
| Humana | HMO | $207.23 | — |
| MD Medicare Choice | MCRHMO | $227.45 | — |
| United | GlobalBenefitPlanAppendix | $227.45 | — |
| Plotkin Health | COMM | $252.72 | — |
| MultiPlan | PRIMARYNETWORK | $394.24 | — |
| Evernorth | COMM | $404.35 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $404.35 | — |
| PPO Next | PPO | $429.62 | — |
| PPO Next | COMM | $429.62 | — |
| Evolutions Healthcare | TRADITIONALPPO | $429.62 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $429.62 | — |
| NovaNet | COMM | $454.90 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Pt re-evaluation patient/family 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 | $63.78 – $164.38 |
| Adventhealth Daytona Beach | Daytona Beach | $300.25 | $62.79 – $110.30 |
| Adventhealth Lake Wales | Lake Wales | $326.78 | $66.09 – $146.72 |
| Adventhealth Palm Coast Parkway | Palm Coast | $303.28 | not published |
| Adventhealth Tampa | Tampa | $288.10 | $66.09 – $146.72 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $235.00 | $62.79 – $144.37 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $572.00 | $46.53 – $69.79 |
| Adventhealth Port Charlotte | Port Charlotte | $270.82 | not published |