Pretreat rbc w chem/drugs reference at HCA FLORIDA OSCEOLA HOSPITAL
5597 LEE VISTA BOULEVARD, ORLANDO, FL · HCA Florida Healthcare · · NPI 1689621450
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.15 with Freedom Health vs $84.02 with Careworks (Rockport Community) — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $5.15 | — |
| Optimum | MGMCR | $5.15 | — |
| AvMed | HIX | $5.72 | — |
| Simply | MGMCR | $11.01 | — |
| Oscar | HIX | $11.44 | — |
| Simply Healthcare | HIX | $11.94 | — |
| Molina Healthcare | MGMCR | $13.59 | — |
| Evolutions | TieredNetwork | $16.45 | — |
| AvMed | HMOFI | $17.16 | — |
| Sunshine State Health Plan | QHP | $18.23 | — |
| Molina Healthcare | HIX | $19.30 | — |
| AvMed | ASOEO | $20.02 | — |
| Humana | HMO | $20.02 | — |
| Humana | PPO | $20.02 | — |
| Aetna | ASA | $21.45 | — |
| United | OptionsPPO | $23.88 | — |
| United | GlobalBenefitPlan | $32.17 | — |
| United | AllPayerAppendix | $33.84 | — |
| Prime Health Sheriff | COMM | $35.75 | — |
| Plotkin Health | COMM | $35.75 | — |
| AvMed | HIXOON | $35.75 | — |
| Prime Health Sheriff | WORKERSCOMP | $35.75 | — |
| Multiplan | PRIMARYPPO | $53.63 | — |
| Multiplan | Primary | $55.77 | — |
| Evernorth | BHCOMM | $57.20 | — |
| PPO Next | COMM | $60.77 | — |
| Multiplan | Complementary | $60.77 | — |
| Multiplan | COMPLEMENTARYPPO | $60.77 | — |
| PPO Next | PPO | $60.77 | — |
| NovaNet | COMM | $64.35 | — |
| Beacon Health Options | MCR | $71.50 | — |
| CorVel Corporation | WORKERSCOMP | $79.82 | — |
| Prime Health | WC | $81.50 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $84.02 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Pretreat rbc w chem/drugs reference at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Orlando | Orlando | $345.00 | $61.60 – $163.25 |
| UCF LAKE NONA HOSPITAL | Orlando | $71.28 | $33.84 – $81.50 |
| Adventhealth Daytona Beach | Daytona Beach | $345.83 | $58.52 – $102.82 |
| Adventhealth Lake Wales | Lake Wales | $345.83 | $61.60 – $136.76 |
| Adventhealth Palm Coast Parkway | Palm Coast | $330.52 | $58.52 – $131.58 |
| Adventhealth Tampa | Tampa | $196.49 | $61.60 – $136.76 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $113.97 | $58.52 – $134.57 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $120.00 | $33.84 – $81.37 |