Ureteral reflux study at HCA FLORIDA ORANGE PARK HOSPITAL
2560 BLANDING BLVD, MIDDLEBURG, FL · HCA Florida Healthcare · · NPI 1689611501
$6,437.36
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.
$6,437.36
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.
$540.74 with Optimum Healthcare vs $5,793.62 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 | $540.74 | ↓ -92% |
| United | OptionsPPO | $772.48 | ↓ -88% |
| AvMed | HIX | $772.48 | ↓ -88% |
| United | AllPayerAppendix | $848.52 | ↓ -87% |
| Simply Healthcare | MGMCR | $991.35 | ↓ -85% |
| Positive Healthcare | MCR | $1,416.22 | ↓ -78% |
| AvMed | HMOFI | $1,480.59 | ↓ -77% |
| Sunshine State Health Plan | QHP | $1,641.53 | ↓ -74% |
| Molina Healthcare | HIX | $1,738.09 | ↓ -73% |
| AvMed | ASOEO | $1,802.46 | ↓ -72% |
| Aetna | ASA | $1,931.21 | ↓ -70% |
| CorVel Corporation | WORKERSCOMP | $2,025.95 | ↓ -69% |
| Prime Health | WORKERSCOMP | $2,068.60 | ↓ -68% |
| Humana | HMO | $2,639.32 | ↓ -59% |
| Humana | PPO | $2,639.32 | ↓ -59% |
| United | GlobalBenefitPlanAppendix | $2,896.81 | ↓ -55% |
| MD Medicare Choice | MCRHMO | $2,896.81 | ↓ -55% |
| Plotkin Health | COMM | $3,218.68 | ↓ -50% |
| MultiPlan | PRIMARYNETWORK | $5,021.14 | ↓ -22% |
| Evolutions Healthcare | MANAGEDCAREPPO | $5,149.89 | ↓ -20% |
| Evernorth | COMM | $5,149.89 | ↓ -20% |
| PPO Next | COMM | $5,471.76 | ↓ -15% |
| PPO Next | PPO | $5,471.76 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $5,471.76 | ↓ -15% |
| MultiPlan | COMPLEMENTARYNETWORK | $5,471.76 | ↓ -15% |
| NovaNet | COMM | $5,793.62 | ↓ -10% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Ureteral reflux study 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 | $391.25 – $884.18 |
| Adventhealth Port Charlotte | Port Charlotte | $1,678.40 | $417.47 – $762.31 |
| cleveland clinic florida weston hospital | Weston | $2,401.10 | $24.01 – $2,946.10 |
| martin north hospital | Stuart | $2,252.90 | $21.48 – $1,733.00 |
| indian river hospital | Vero Beach | $2,252.90 | $20.52 – $2,772.80 |
| Baptist Hospital | MIAMI | $1,423.50 | $173.17 – $1,971.00 |
| Bethesda Hospital East | BOYNTON BEACH | $1,423.50 | $234.02 – $1,971.00 |
| Boca Raton Regional Hospital | BOCA RATON | $1,276.60 | $409.97 – $1,282.49 |