X-ray surgical specimen 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.
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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.
$135.63 with Optimum vs $1,883.70 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 | $135.63 | — |
| Freedom Health | MCR | $135.63 | — |
| AvMed | HIX | $150.70 | — |
| Simply | MGMCR | $290.09 | — |
| CorVel Corporation | WORKERSCOMP | $332.75 | — |
| Prime Health | WC | $339.75 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $350.26 | — |
| Molina Healthcare | MGMCR | $357.90 | — |
| Evolutions | TieredNetwork | $433.25 | — |
| AvMed | HMOFI | $452.09 | — |
| Sunshine State Health Plan | QHP | $480.34 | — |
| Molina Healthcare | HIX | $508.60 | — |
| Humana | PPO | $527.44 | — |
| Humana | HMO | $527.44 | — |
| AvMed | ASOEO | $527.44 | — |
| Aetna | ASA | $565.11 | — |
| United | OptionsPPO | $629.16 | — |
| United | GlobalBenefitPlan | $847.66 | — |
| Prime Health Sheriff | WORKERSCOMP | $941.85 | — |
| AvMed | HIXOON | $941.85 | — |
| Prime Health Sheriff | COMM | $941.85 | — |
| Plotkin Health | COMM | $941.85 | — |
| United | AllPayerAppendix | $1,086.50 | — |
| Multiplan | PRIMARYPPO | $1,412.78 | — |
| Multiplan | Primary | $1,469.29 | — |
| Evernorth | BHCOMM | $1,506.96 | — |
| PPO Next | COMM | $1,601.14 | — |
| Multiplan | Complementary | $1,601.14 | — |
| Multiplan | COMPLEMENTARYPPO | $1,601.14 | — |
| PPO Next | PPO | $1,601.14 | — |
| NovaNet | COMM | $1,695.33 | — |
| Beacon Health Options | MCR | $1,883.70 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
X-ray surgical specimen at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Orlando | Orlando | $486.00 | $496.32 – $1,512.12 |
| UCF LAKE NONA HOSPITAL | Orlando | $1,318.64 | $332.75 – $1,086.50 |
| Adventhealth Daytona Beach | Daytona Beach | $1,428.17 | $523.23 – $952.35 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,428.17 | $472.40 – $1,218.77 |
| Adventhealth Tampa | Tampa | $1,837.79 | $424.56 – $1,266.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,564.18 | $542.08 – $1,246.50 |
| Adventhealth Port Charlotte | Port Charlotte | $3,221.47 | $443.70 – $1,041.93 |
| cleveland clinic florida weston hospital | Weston | $3,154.45 | $6.68 – $4,019.65 |