Fragmenting of kidney stone at OVIEDO MEDICAL CENTER
8300 Red Bug Lake Rd, Oviedo, FL · HCA Florida Healthcare · · NPI 1245785567
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.
$983.89 with Prime Health vs $19,670.00 with Humana — 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 |
|---|---|---|---|
| Prime Health | WC | $983.89 | — |
| Freedom Health | MCR | $3,942.00 | — |
| Optimum | MGMCR | $3,942.00 | — |
| Simply | MGMCR | $4,200.00 | — |
| Molina Healthcare | MGMCR | $4,500.00 | — |
| Truli for Health | BSL | $7,253.00 | — |
| BCBS | BSL | $7,453.00 | — |
| BCBS | SBN | $7,453.00 | — |
| BCBS | MBN | $7,453.00 | — |
| Oscar | HIX | $8,267.00 | — |
| Simply Healthcare | HIX | $8,451.00 | — |
| AvMed | HIX | $8,695.00 | — |
| Aetna | QHP | $8,848.00 | — |
| Evolutions | TieredNetwork | $9,923.00 | — |
| Aetna | PPO | $10,901.00 | — |
| Aetna | HMO | $10,901.00 | — |
| Cigna | PPO | $11,060.00 | — |
| Cigna | ManagedCareHMO | $11,060.00 | — |
| United | AllPayerAppendix | $11,240.00 | — |
| BCBS | NWB | $11,297.00 | — |
| BCBS | PPO | $11,297.00 | — |
| BCBS | HMO | $11,334.00 | — |
| BCBS | PHS | $14,544.00 | — |
| Florida Health Care Plan | COMM | $15,192.00 | — |
| AvMed | HMOFI | $16,633.00 | — |
| AvMed | ASOEO | $18,269.00 | — |
| Humana | HMO | $19,670.00 | — |
| Humana | PPO | $19,670.00 | — |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $36,427.82 | $3,497.01 – $6,143.69 |
| Adventhealth Lake Wales | Lake Wales | $37,661.94 | $3,681.06 – $8,171.96 |
| Adventhealth Palm Coast Parkway | Palm Coast | $33,382.98 | $3,497.01 – $7,862.38 |
| Adventhealth Tampa | Tampa | $38,036.00 | $3,681.06 – $8,171.96 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $24,987.27 | $3,497.01 – $8,041.28 |
| Adventhealth Port Charlotte | Port Charlotte | $39,444.17 | $3,681.06 – $6,721.62 |
| cleveland clinic florida weston hospital | Weston | $2,540.20 | $331.09 – $4,049.17 |
| martin north hospital | Stuart | $12,890.15 | $438.27 – $9,915.50 |