Treat toe dislocation at Adventhealth Ocala
1500 Sw 1St Ave, Ocala, FL · AdventHealth · · NPI 1740772268
$2,164.61
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.
$2,164.61
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.
$292.08 with Health First Health Plans vs $648.41 with Sunshine Health — 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 |
|---|---|---|---|
| Health First Health Plans | Medicare Managed Care - Hmo | $292.08 | ↓ -87% |
| Bcbs | Medicare Managed Care - Hmo | $300.84 | ↓ -86% |
| Freedom Health | Medicare Managed Care - Hmo | $306.68 | ↓ -86% |
| Simply Healthcare | Medicare Managed Care - Hmo | $309.60 | ↓ -86% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $312.52 | ↓ -86% |
| Oscar | Individual Epo | $612.25 | ↓ -72% |
| Sunshine Health | Ambetter Exchange | $648.41 | ↓ -70% |
Visitor-reported prices
Comments
Treat toe dislocation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $855.66 | not published |
| Adventhealth Lake Wales | Lake Wales | $855.66 | $292.08 – $648.41 |
| Adventhealth Palm Coast Parkway | Palm Coast | $855.66 | not published |
| Adventhealth Tampa | Tampa | $2,976.33 | $292.08 – $648.41 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $937.15 | not published |
| cleveland clinic florida weston hospital | Weston | $993.20 | $67.32 – $1,298.80 |
| martin north hospital | Stuart | $993.20 | $159.96 – $1,146.00 |
| Boca Raton Regional Hospital | BOCA RATON | $2,715.70 | $286.83 – $2,728.23 |