Analysis tumor at HCA FLORIDA OSCEOLA HOSPITAL
5597 LEE VISTA BOULEVARD, ORLANDO, FL · HCA Florida Healthcare · · NPI 1689621450
$1,011.90
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.
$1,011.90
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.
$72.86 with Freedom Health vs $1,011.90 with Beacon Health Options — 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 |
|---|---|---|---|
| Freedom Health | MCR | $72.86 | ↓ -93% |
| Optimum | MGMCR | $72.86 | ↓ -93% |
| AvMed | HIX | $80.95 | ↓ -92% |
| United | AllPayerAppendix | $149.16 | ↓ -85% |
| Simply | MGMCR | $155.83 | ↓ -85% |
| Oscar | HIX | $161.90 | ↓ -84% |
| Simply Healthcare | HIX | $168.99 | ↓ -83% |
| Molina Healthcare | MGMCR | $192.26 | ↓ -81% |
| Evolutions | TieredNetwork | $232.74 | ↓ -77% |
| AvMed | HMOFI | $242.86 | ↓ -76% |
| Sunshine State Health Plan | QHP | $258.03 | ↓ -75% |
| Molina Healthcare | HIX | $273.21 | ↓ -73% |
| CorVel Corporation | WORKERSCOMP | $275.04 | ↓ -73% |
| Prime Health | WC | $280.83 | ↓ -72% |
| AvMed | ASOEO | $283.33 | ↓ -72% |
| Humana | HMO | $283.33 | ↓ -72% |
| Humana | PPO | $283.33 | ↓ -72% |
| Careworks (Rockport Community) | WORKERSCOMP | $289.52 | ↓ -71% |
| Aetna | ASA | $303.57 | ↓ -70% |
| United | OptionsPPO | $337.97 | ↓ -67% |
| United | GlobalBenefitPlan | $455.36 | ↓ -55% |
| AvMed | HIXOON | $505.95 | ↓ -50% |
| Plotkin Health | COMM | $505.95 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $505.95 | ↓ -50% |
| Prime Health Sheriff | COMM | $505.95 | ↓ -50% |
| Multiplan | PRIMARYPPO | $758.92 | ↓ -25% |
| Multiplan | Primary | $789.28 | ↓ -22% |
| Evernorth | BHCOMM | $809.52 | ↓ -20% |
| PPO Next | COMM | $860.12 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $860.12 | ↓ -15% |
| PPO Next | PPO | $860.12 | ↓ -15% |
| Multiplan | Complementary | $860.12 | ↓ -15% |
| NovaNet | COMM | $910.71 | ↓ -10% |
| Beacon Health Options | MCR | $1,011.90 | ↑ +0% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Analysis tumor at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UCF LAKE NONA HOSPITAL | Orlando | $1,008.61 | $149.16 – $280.83 |
| AdventHealth Orlando | Orlando | not published | $177.91 – $471.47 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,174.00 | $149.16 – $280.39 |
| Baptist Hospital | MIAMI | $608.40 | $101.78 – $842.40 |
| Bethesda Hospital East | BOYNTON BEACH | $608.40 | $101.78 – $842.40 |
| Doctors Hospital | CORAL GABLES | $608.40 | $98.66 – $842.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $608.40 | $98.66 – $842.40 |
| Homestead Hospital | HOMESTEAD | $608.40 | $98.66 – $842.40 |