Screen pap by tech w md supv 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.
$14.83 with Hospice Community vs $26.88 with Oscar — 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 | $14.83 | — |
| Hospice Community | FED | $14.83 | — |
| United | AllPayerAppendix | $15.15 | — |
| Hospice Haven | MCR | $16.69 | — |
| Humana | TRICARE | $17.00 | — |
| United Behavioral Health | VACCN | $18.54 | — |
| CarePlus | MGMCR | $18.54 | — |
| Veterans Evaluation Services | MCR | $18.54 | — |
| NDMS Definitive Care | MGMCR | $18.54 | — |
| United | VACCN | $18.54 | — |
| Humana | MGMCRPPO | $18.54 | — |
| Devoted Health | MCR | $18.54 | — |
| Humana | MGMCRHMO | $18.54 | — |
| WellMed | MGMCRTier3 | $18.63 | — |
| WellMed | MGMCRTier1 | $18.63 | — |
| WellMed | MGMCRTier2 | $18.63 | — |
| United | MCR | $18.91 | — |
| BCBS | MCRHMO | $18.91 | — |
| BCBS | MCRPPO | $18.91 | — |
| WellCare | MCR | $19.47 | — |
| Sunshine State | MCR | $19.47 | — |
| American Health Plan | MCR | $19.65 | — |
| Florida Complete Care | MGMCR | $19.84 | — |
| Cigna Healthspring | MCR | $19.84 | — |
| Gold Kidney | MGMCR | $20.21 | — |
| Longevity | MCR | $22.25 | — |
| Simply Healthcare | HIX | $22.99 | — |
| Clay County Sheriffs Office | LOGOV | $23.17 | — |
| Oscar | HIX | $26.88 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Screen pap by tech w md supv at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $69.55 | $9.95 – $90.95 |
| martin north hospital | Stuart | $69.55 | $10.47 – $80.25 |
| indian river hospital | Vero Beach | $69.55 | $9.95 – $85.60 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $128.26 | $15.15 – $25.21 |
| AdventHealth Orlando | Orlando | $84.00 | $18.54 – $49.13 |
| Adventhealth Carrollwood | Tampa | $245.72 | $18.54 – $41.16 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $17.61 – $30.94 |
| Adventhealth Lake Wales | Lake Wales | not published | $18.54 – $41.16 |