Surgical pathology level 5 gross & microscopic examination at HCA FLORIDA ORANGE PARK HOSPITAL
2560 BLANDING BLVD, MIDDLEBURG, FL · HCA Florida Healthcare · · NPI 1689611501
$5,126.22
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.
$5,126.22
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.
$291.26 with United vs $4,613.60 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 |
|---|---|---|---|
| United | AllPayerAppendix | $291.26 | ↓ -94% |
| Optimum Healthcare | MGMCR | $430.60 | ↓ -92% |
| CorVel Corporation | WORKERSCOMP | $612.59 | ↓ -88% |
| United | OptionsPPO | $615.15 | ↓ -88% |
| AvMed | HIX | $615.15 | ↓ -88% |
| Prime Health | WORKERSCOMP | $625.49 | ↓ -88% |
| Simply Healthcare | HIX | $651.03 | ↓ -87% |
| Simply Healthcare | MGMCR | $789.44 | ↓ -85% |
| Oscar | HIX | $820.20 | ↓ -84% |
| Positive Healthcare | MCR | $1,127.77 | ↓ -78% |
| AvMed | HMOFI | $1,179.03 | ↓ -77% |
| Sunshine State Health Plan | QHP | $1,307.19 | ↓ -74% |
| Molina Healthcare | HIX | $1,384.08 | ↓ -73% |
| AvMed | ASOEO | $1,435.34 | ↓ -72% |
| Aetna | ASA | $1,537.87 | ↓ -70% |
| Humana | PPO | $2,101.75 | ↓ -59% |
| Humana | HMO | $2,101.75 | ↓ -59% |
| United | GlobalBenefitPlanAppendix | $2,306.80 | ↓ -55% |
| MD Medicare Choice | MCRHMO | $2,306.80 | ↓ -55% |
| Plotkin Health | COMM | $2,563.11 | ↓ -50% |
| MultiPlan | PRIMARYNETWORK | $3,998.45 | ↓ -22% |
| Evolutions Healthcare | MANAGEDCAREPPO | $4,100.98 | ↓ -20% |
| Evernorth | COMM | $4,100.98 | ↓ -20% |
| PPO Next | COMM | $4,357.29 | ↓ -15% |
| MultiPlan | COMPLEMENTARYNETWORK | $4,357.29 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $4,357.29 | ↓ -15% |
| PPO Next | PPO | $4,357.29 | ↓ -15% |
| NovaNet | COMM | $4,613.60 | ↓ -10% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
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Surgical pathology level 5 gross & microscopic examination at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $74.74 | $162.67 – $740.21 |
| Adventhealth Daytona Beach | Daytona Beach | $713.38 | $355.60 – $624.74 |
| Adventhealth Lake Wales | Lake Wales | $915.98 | $374.32 – $830.99 |
| Adventhealth Palm Coast Parkway | Palm Coast | $717.11 | $355.60 – $799.51 |
| Adventhealth Tampa | Tampa | $1,494.75 | $374.32 – $830.99 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $616.32 | $355.60 – $817.70 |
| Adventhealth Port Charlotte | Port Charlotte | $1,434.09 | $374.32 – $683.50 |
| cleveland clinic florida weston hospital | Weston | $444.60 | $47.77 – $684.00 |