Lipoprotein blood quant at HCA FLORIDA OSCEOLA HOSPITAL
5597 LEE VISTA BOULEVARD, ORLANDO, FL · HCA Florida Healthcare · · NPI 1689621450
$95.70
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.
$95.70
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.
$6.89 with Optimum vs $95.70 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 |
|---|---|---|---|
| Optimum | MGMCR | $6.89 | ↓ -93% |
| Freedom Health | MCR | $6.89 | ↓ -93% |
| AvMed | HIX | $7.66 | ↓ -92% |
| Simply | MGMCR | $14.74 | ↓ -85% |
| Molina Healthcare | MGMCR | $18.18 | ↓ -81% |
| Evolutions | TieredNetwork | $22.01 | ↓ -77% |
| AvMed | HMOFI | $22.97 | ↓ -76% |
| Sunshine State Health Plan | QHP | $24.40 | ↓ -75% |
| Molina Healthcare | HIX | $25.84 | ↓ -73% |
| Humana | PPO | $26.80 | ↓ -72% |
| AvMed | ASOEO | $26.80 | ↓ -72% |
| Humana | HMO | $26.80 | ↓ -72% |
| Aetna | ASA | $28.71 | ↓ -70% |
| Humana | TRICARE | $30.99 | ↓ -68% |
| United | OptionsPPO | $31.96 | ↓ -67% |
| Humana | MGMCRPPO | $34.19 | ↓ -64% |
| United Behavioral Health | VACCN | $34.19 | ↓ -64% |
| United | AllPayerAppendix | $34.19 | ↓ -64% |
| Wellmed | MGMCR | $34.19 | ↓ -64% |
| NDMS Definitive Care | MGMCR | $34.19 | ↓ -64% |
| Devoted Health | MCR | $34.19 | ↓ -64% |
| United | VACCN | $34.19 | ↓ -64% |
| Humana | MGMCRHMO | $34.19 | ↓ -64% |
| BCBS | MCRHMO | $34.87 | ↓ -64% |
| FL Health Care Plan | MCR | $34.87 | ↓ -64% |
| United | MCR | $34.87 | ↓ -64% |
| BCBS | MCRPPO | $34.87 | ↓ -64% |
| Aetna | MCR | $35.04 | ↓ -63% |
| WellCare | MCR | $35.90 | ↓ -62% |
| Sunshine State | MCR | $35.90 | ↓ -62% |
| AvMed | MGMCR | $36.24 | ↓ -62% |
| American Health Plan | MCR | $36.24 | ↓ -62% |
| Cigna Healthspring | MCR | $36.58 | ↓ -62% |
| Florida Complete Care | MCR | $36.58 | ↓ -62% |
| Align Senior Care | MGMCR | $36.58 | ↓ -62% |
| Gold Kidney of Florida | MCR | $37.27 | ↓ -61% |
| Centurion | GVT | $37.61 | ↓ -61% |
| Clear Spring Health | MCR | $37.61 | ↓ -61% |
| CarePlus | MGMCR | $38.98 | ↓ -59% |
| Ultimate Health Plan | MCR | $39.32 | ↓ -59% |
| Longevity Health Plan | MCR | $41.03 | ↓ -57% |
| United | GlobalBenefitPlan | $43.06 | ↓ -55% |
| Plotkin Health | COMM | $47.85 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $47.85 | ↓ -50% |
| Prime Health Sheriff | COMM | $47.85 | ↓ -50% |
| AvMed | HIXOON | $47.85 | ↓ -50% |
| Solis Health Plan | MCR | $49.58 | ↓ -48% |
| Oscar | HIX | $49.58 | ↓ -48% |
| Simply Healthcare | HIX | $53.34 | ↓ -44% |
| Multiplan | PRIMARYPPO | $71.78 | ↓ -25% |
| CorVel Corporation | WORKERSCOMP | $74.05 | ↓ -23% |
| Multiplan | Primary | $74.65 | ↓ -22% |
| Prime Health | WC | $75.61 | ↓ -21% |
| Evernorth | BHCOMM | $76.56 | ↓ -20% |
| Careworks (Rockport Community) | WORKERSCOMP | $77.95 | ↓ -19% |
| PPO Next | COMM | $81.34 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $81.34 | ↓ -15% |
| Multiplan | Complementary | $81.34 | ↓ -15% |
| PPO Next | PPO | $81.34 | ↓ -15% |
| NovaNet | COMM | $86.13 | ↓ -10% |
| Beacon Health Options | MCR | $95.70 | ↑ +0% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Lipoprotein blood quant at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Orlando | Orlando | $151.00 | $34.19 – $90.60 |
| UCF LAKE NONA HOSPITAL | Orlando | not published | $30.99 – $75.61 |
| Adventhealth Daytona Beach | Daytona Beach | $103.90 | $32.48 – $57.06 |
| Adventhealth Lake Wales | Lake Wales | $158.32 | $34.19 – $75.90 |
| Adventhealth Palm Coast Parkway | Palm Coast | $98.95 | $32.48 – $73.03 |
| Adventhealth Tampa | Tampa | $527.72 | $34.19 – $75.90 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $89.06 | $32.48 – $74.69 |
| Adventhealth Port Charlotte | Port Charlotte | $252.36 | $34.19 – $62.43 |