Perq nl/pl lithotrp smpl<2cm 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.
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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.
$983.89 with Prime Health vs $28,970.00 with BCBS — 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 |
|---|---|---|---|
| Prime Health | WC | $983.89 | — |
| Freedom Health | MCR | $1,950.00 | — |
| Molina Healthcare | MGMCR | $1,950.00 | — |
| Optimum | MGMCR | $1,950.00 | — |
| Simply | MGMCR | $2,250.00 | — |
| 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 | — |
| United | AllPayerAppendix | $10,555.00 | — |
| Aetna | PPO | $10,901.00 | — |
| Aetna | HMO | $10,901.00 | — |
| Cigna | ManagedCareHMO | $11,060.00 | — |
| Cigna | PPO | $11,060.00 | — |
| Truli for Health | BSL | $13,332.00 | — |
| BCBS | MBN | $14,130.00 | — |
| BCBS | SBN | $14,130.00 | — |
| BCBS | BSL | $14,130.00 | — |
| Florida Health Care Plan | COMM | $15,192.00 | — |
| AvMed | HMOFI | $16,633.00 | — |
| AvMed | ASOEO | $18,269.00 | — |
| Humana | PPO | $19,670.00 | — |
| Humana | HMO | $19,670.00 | — |
| BCBS | HMO | $22,240.00 | — |
| BCBS | NWB | $22,619.00 | — |
| BCBS | PPO | $22,619.00 | — |
| BCBS | PHS | $28,970.00 | — |
Visitor-reported prices
Comments
Perq nl/pl lithotrp smpl<2cm at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $3,549.00 | $534.39 – $10,874.19 |
| martin north hospital | Stuart | $3,549.00 | $534.39 – $10,874.19 |
| indian river hospital | Vero Beach | $34,561.15 | $534.39 – $42,536.80 |
| Baptist Hospital | MIAMI | $16,340.35 | $173.17 – $11,312.10 |
| Bethesda Hospital East | BOYNTON BEACH | $16,340.35 | $3,544.46 – $11,312.10 |
| Boca Raton Regional Hospital | BOCA RATON | $16,073.20 | $4,587.00 – $16,147.38 |
| Doctors Hospital | CORAL GABLES | $16,340.35 | $2,199.58 – $11,312.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $16,340.35 | $2,187.01 – $11,312.10 |