_afb org id by sequencing rflx ast-sendout at HCA FLORIDA OCALA HOSPITAL
14193 S US HIGHWAY 441, SUMMERFIELD, FL · HCA Florida Healthcare · · NPI 1841237930
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.
$9.84 with AvMed vs $242.26 with University MA Federal Corrections — 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 |
|---|---|---|---|
| AvMed | HIX | $9.84 | — |
| Simply | MGMCR | $12.62 | — |
| United | OptionsPPO | $14.26 | — |
| Molina Healthcare | MGMCR | $15.57 | — |
| Humana | PPO | $16.39 | — |
| Humana | HMO | $16.39 | — |
| Evolutions | TieredNetwork | $18.85 | — |
| Evolutions Healthcare | COMM | $18.85 | — |
| AvMed | HMOFI | $19.67 | — |
| Sunshine State Health Plan | QHP | $20.90 | — |
| AvMed | ASOEO | $22.95 | — |
| Aetna | ASA | $24.59 | — |
| Molina Healthcare | HIX | $26.23 | — |
| United | GlobalBenefitPlan | $36.89 | — |
| Prime Health Sheriff | WORKERSCOMP | $40.98 | — |
| Prime Health Sheriff | COMM | $40.98 | — |
| Plotkin Health | COMM | $40.98 | — |
| Multiplan | Primary | $63.94 | — |
| PPO Next | PPO | $69.67 | — |
| PPO Next | COMM | $69.67 | — |
| NovaNet | COMM | $73.77 | — |
| Humana | TRICARE | $104.56 | — |
| United | AllPayerAppendix | $115.36 | — |
| Devoted Health | MCR | $115.36 | — |
| NDMS Definitive Care | MGMCR | $115.36 | — |
| Veterans Evaluation Services | MCR | $115.36 | — |
| VA Purchased Care Program | LOGOV | $115.36 | — |
| Humana | MGMCRPPO | $115.36 | — |
| Humana | MGMCRHMO | $115.36 | — |
| United | VACCN | $115.36 | — |
| Wellmed | MGMCR | $115.36 | — |
| United | MCR | $117.67 | — |
| BCBS | MCRHMO | $117.67 | — |
| BCBS | MCRPPO | $117.67 | — |
| Freedom Optimum | MCR | $117.67 | — |
| Sunshine State | MCR | $121.13 | — |
| WellCare | MCR | $121.13 | — |
| AvMed | MGMCR | $122.28 | — |
| American Health Plan | MCR | $122.28 | — |
| Cigna Healthspring | MCR | $123.44 | — |
| Florida Complete Care | MCR | $123.44 | — |
| Align Senior Care | MGMCR | $123.44 | — |
| SECUR | MGMCR | $124.59 | — |
| Gold Kidney of Florida | MCR | $125.74 | — |
| Clear Spring Health | MCR | $126.90 | — |
| Centurion | GVT | $126.90 | — |
| Aetna | MCR | $126.90 | — |
| CarePlus | MGMCR | $131.51 | — |
| Ultimate Health Plan | MCR | $132.66 | — |
| Longevity Health Plan | MCR | $138.43 | — |
| Simply Healthcare | HIX | $144.20 | — |
| CorVel Corporation | WORKERSCOMP | $209.72 | — |
| Prime Health | WC | $214.14 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $220.76 | — |
| Marion County Schools | WC | $220.76 | — |
| WellPath | GVT | $242.26 | — |
| NaphCare | PRISN | $242.26 | — |
| University MA Federal Corrections | GVT | $242.26 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $317.96 | $109.59 – $192.54 |
| Adventhealth Lake Wales | Lake Wales | $381.55 | $115.36 – $256.10 |
| Adventhealth Palm Coast Parkway | Palm Coast | $317.96 | $109.59 – $246.40 |
| Adventhealth Tampa | Tampa | $1,780.58 | $115.36 – $256.10 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $295.94 | $109.59 – $252.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $76.00 | $92.29 – $224.51 |
| Adventhealth Port Charlotte | Port Charlotte | $770.20 | $115.36 – $210.65 |
| cleveland clinic florida weston hospital | Weston | $556.40 | $92.55 – $727.60 |