X-ray exam of middle ear at Adventhealth Ocala
1500 Sw 1St Ave, Ocala, FL · AdventHealth · · NPI 1740772268
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.
$77.67 with Aetna vs $1,266.75 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 |
|---|---|---|---|
| Aetna | Qhp Exchange | $77.67 | — |
| Adventhealth | Amps Hmo | $87.92 | — |
| Aetna | Hmo/Ppo | $128.91 | — |
| Cigna | Hmo/Ppo | $135.90 | — |
| Unitedhealthcare | Nexus Hmo | $394.93 | — |
| Unitedhealthcare | Compass Exchange | $394.93 | — |
| Unitedhealthcare | Neighborhood Health Partnership (Nhp) Hmo | $394.93 | — |
| Unitedhealthcare | Hmo/Ppo | $394.93 | — |
| Health First Health Plans | Medicare Managed Care - Hmo | $570.61 | — |
| Bcbs | Medicare Managed Care - Hmo | $587.73 | — |
| Freedom Health | Medicare Managed Care - Hmo | $599.14 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $604.85 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $610.55 | — |
| Oscar | Individual Epo | $1,196.11 | — |
| Sunshine Health | Ambetter Exchange | $1,266.75 | — |
Visitor-reported prices
Comments
X-ray exam of middle ear at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $2,295.00 | $1,086.50 – $2,246.54 |
| cleveland clinic florida weston hospital | Weston | $3,171.35 | $14.93 – $4,019.65 |
| martin north hospital | Stuart | $3,073.85 | $13.36 – $2,364.50 |
| indian river hospital | Vero Beach | $3,073.85 | $13.11 – $3,783.20 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $424.00 | $123.35 – $1,182.67 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $587.20 | $123.35 – $1,182.67 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | $2,454.65 | $1,086.50 – $2,209.86 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD | $2,514.62 | $1,086.50 – $2,280.55 |