Tomosynthesis breast screen bilateral at HCA FLORIDA ORANGE PARK HOSPITAL
2560 BLANDING BLVD, MIDDLEBURG, FL · HCA Florida Healthcare · · NPI 1689611501
$454.90
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.
$454.90
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.
$17.88 with Hospice Community vs $409.41 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 |
|---|---|---|---|
| Hospice Community | MCR | $17.88 | ↓ -96% |
| Hospice Community | FED | $17.88 | ↓ -96% |
| Hospice Haven | MCR | $20.12 | ↓ -96% |
| Humana | TRICARE | $21.89 | ↓ -95% |
| Devoted Health | MCR | $22.35 | ↓ -95% |
| Humana | MGMCRHMO | $22.35 | ↓ -95% |
| Humana | MGMCRPPO | $22.35 | ↓ -95% |
| CarePlus | MGMCR | $22.35 | ↓ -95% |
| Veterans Evaluation Services | MCR | $22.35 | ↓ -95% |
| United Behavioral Health | VACCN | $22.35 | ↓ -95% |
| NDMS Definitive Care | MGMCR | $22.35 | ↓ -95% |
| United | VACCN | $22.35 | ↓ -95% |
| WellMed | MGMCRTier1 | $22.46 | ↓ -95% |
| WellMed | MGMCRTier2 | $22.46 | ↓ -95% |
| WellMed | MGMCRTier3 | $22.46 | ↓ -95% |
| United | MCR | $22.80 | ↓ -95% |
| BCBS | MCRHMO | $22.80 | ↓ -95% |
| BCBS | MCRPPO | $22.80 | ↓ -95% |
| Sunshine State | MCR | $23.47 | ↓ -95% |
| WellCare | MCR | $23.47 | ↓ -95% |
| American Health Plan | MCR | $23.69 | ↓ -95% |
| Florida Complete Care | MGMCR | $23.91 | ↓ -95% |
| Cigna Healthspring | MCR | $23.91 | ↓ -95% |
| Gold Kidney | MGMCR | $24.36 | ↓ -95% |
| Longevity | MCR | $26.82 | ↓ -94% |
| Clay County Sheriffs Office | LOGOV | $27.94 | ↓ -94% |
| Optimum Healthcare | MGMCR | $38.21 | ↓ -92% |
| United | OptionsPPO | $54.59 | ↓ -88% |
| AvMed | HIX | $54.59 | ↓ -88% |
| United | AllPayerAppendix | $57.31 | ↓ -87% |
| Simply Healthcare | MGMCR | $70.05 | ↓ -85% |
| Positive Healthcare | MCR | $100.08 | ↓ -78% |
| AvMed | HMOFI | $104.63 | ↓ -77% |
| Sunshine State Health Plan | QHP | $116.00 | ↓ -74% |
| Molina Healthcare | HIX | $122.82 | ↓ -73% |
| AvMed | ASOEO | $127.37 | ↓ -72% |
| Aetna | ASA | $136.47 | ↓ -70% |
| Humana | HMO | $186.51 | ↓ -59% |
| Humana | PPO | $186.51 | ↓ -59% |
| United | GlobalBenefitPlanAppendix | $204.71 | ↓ -55% |
| MD Medicare Choice | MCRHMO | $204.71 | ↓ -55% |
| Plotkin Health | COMM | $227.45 | ↓ -50% |
| MultiPlan | PRIMARYNETWORK | $354.82 | ↓ -22% |
| Evolutions Healthcare | MANAGEDCAREPPO | $363.92 | ↓ -20% |
| Evernorth | COMM | $363.92 | ↓ -20% |
| PPO Next | COMM | $386.67 | ↓ -15% |
| MultiPlan | COMPLEMENTARYNETWORK | $386.67 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $386.67 | ↓ -15% |
| PPO Next | PPO | $386.67 | ↓ -15% |
| NovaNet | COMM | $409.41 | ↓ -10% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $114.15 | $21.23 – $72.18 |
| Adventhealth Daytona Beach | Daytona Beach | $103.18 | $22.50 – $39.52 |
| Adventhealth Lake Wales | Lake Wales | $316.07 | $23.68 – $53.68 |
| Adventhealth Palm Coast Parkway | Palm Coast | $103.18 | $22.50 – $63.90 |
| Adventhealth Tampa | Tampa | $218.99 | $23.68 – $52.57 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $113.01 | $22.50 – $51.73 |
| Adventhealth Port Charlotte | Port Charlotte | $281.60 | $23.68 – $43.24 |
| cleveland clinic florida weston hospital | Weston | $269.75 | $23.24 – $175.00 |