X-ray exam of mastoids 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.
$245.18 with United vs $2,985.52 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 | $245.18 | — |
| Optimum Healthcare | MGMCR | $278.65 | — |
| United | OptionsPPO | $398.07 | — |
| AvMed | HIX | $398.07 | — |
| Simply Healthcare | MGMCR | $510.85 | — |
| CorVel Corporation | WORKERSCOMP | $659.63 | — |
| Prime Health | WORKERSCOMP | $673.52 | — |
| Positive Healthcare | MCR | $729.79 | — |
| AvMed | HMOFI | $762.97 | — |
| Sunshine State Health Plan | QHP | $845.90 | — |
| Molina Healthcare | HIX | $895.65 | — |
| AvMed | ASOEO | $928.83 | — |
| Aetna | ASA | $995.17 | — |
| Humana | HMO | $1,360.07 | — |
| Humana | PPO | $1,360.07 | — |
| MD Medicare Choice | MCRHMO | $1,492.76 | — |
| United | GlobalBenefitPlanAppendix | $1,492.76 | — |
| Plotkin Health | COMM | $1,658.62 | — |
| MultiPlan | PRIMARYNETWORK | $2,587.45 | — |
| Evolutions Healthcare | MANAGEDCAREPPO | $2,653.79 | — |
| Evernorth | COMM | $2,653.79 | — |
| PPO Next | COMM | $2,819.65 | — |
| MultiPlan | COMPLEMENTARYNETWORK | $2,819.65 | — |
| Evolutions Healthcare | TRADITIONALPPO | $2,819.65 | — |
| PPO Next | PPO | $2,819.65 | — |
| NovaNet | COMM | $2,985.52 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of mastoids 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 | $79.88 – $235.69 |
| cleveland clinic florida weston hospital | Weston | $643.50 | $7.82 – $780.30 |
| martin north hospital | Stuart | $596.70 | $6.99 – $459.00 |
| indian river hospital | Vero Beach | $596.70 | $6.91 – $734.40 |
| Boca Raton Regional Hospital | BOCA RATON | $329.55 | $97.28 – $331.07 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $227.83 | $79.88 – $235.69 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK | $193.50 | $245.18 – $653.41 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $94.39 – $182.21 |