Analysis gene f2 20210g>a variant 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.
$4.87 with AvMed vs $137.95 with NaphCare — 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 | $4.87 | — |
| Simply | MGMCR | $6.24 | — |
| United | OptionsPPO | $7.06 | — |
| Molina Healthcare | MGMCR | $7.70 | — |
| Humana | HMO | $8.11 | — |
| Humana | PPO | $8.11 | — |
| Evolutions | TieredNetwork | $9.33 | — |
| Evolutions Healthcare | COMM | $9.33 | — |
| AvMed | HMOFI | $9.73 | — |
| Sunshine State Health Plan | QHP | $10.34 | — |
| AvMed | ASOEO | $11.35 | — |
| Aetna | ASA | $12.16 | — |
| Molina Healthcare | HIX | $12.98 | — |
| United | GlobalBenefitPlan | $18.25 | — |
| Prime Health Sheriff | WORKERSCOMP | $20.27 | — |
| Plotkin Health | COMM | $20.27 | — |
| Prime Health Sheriff | COMM | $20.27 | — |
| Multiplan | Primary | $31.63 | — |
| PPO Next | COMM | $34.47 | — |
| PPO Next | PPO | $34.47 | — |
| NovaNet | COMM | $36.49 | — |
| Humana | TRICARE | $59.54 | — |
| CorVel Corporation | WORKERSCOMP | $62.27 | — |
| Prime Health | WC | $63.58 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $65.55 | — |
| Marion County Schools | WC | $65.55 | — |
| Veterans Evaluation Services | MCR | $65.69 | — |
| NDMS Definitive Care | MGMCR | $65.69 | — |
| United | AllPayerAppendix | $65.69 | — |
| Humana | MGMCRHMO | $65.69 | — |
| Wellmed | MGMCR | $65.69 | — |
| Humana | MGMCRPPO | $65.69 | — |
| Devoted Health | MCR | $65.69 | — |
| VA Purchased Care Program | LOGOV | $65.69 | — |
| United | VACCN | $65.69 | — |
| United | MCR | $67.00 | — |
| BCBS | MCRHMO | $67.00 | — |
| BCBS | MCRPPO | $67.00 | — |
| Freedom Optimum | MCR | $67.00 | — |
| Sunshine State | MCR | $68.97 | — |
| WellCare | MCR | $68.97 | — |
| American Health Plan | MCR | $69.63 | — |
| AvMed | MGMCR | $69.63 | — |
| Florida Complete Care | MCR | $70.29 | — |
| Cigna Healthspring | MCR | $70.29 | — |
| Align Senior Care | MGMCR | $70.29 | — |
| SECUR | MGMCR | $70.95 | — |
| Gold Kidney of Florida | MCR | $71.60 | — |
| Aetna | MCR | $72.26 | — |
| Centurion | GVT | $72.26 | — |
| Clear Spring Health | MCR | $72.26 | — |
| CarePlus | MGMCR | $74.89 | — |
| Ultimate Health Plan | MCR | $75.54 | — |
| Longevity Health Plan | MCR | $78.83 | — |
| Simply Healthcare | HIX | $82.11 | — |
| WellPath | GVT | $137.95 | — |
| University MA Federal Corrections | GVT | $137.95 | — |
| NaphCare | PRISN | $137.95 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Analysis gene f2 20210g>a variant at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $228.13 | $62.41 – $109.64 |
| Adventhealth Lake Wales | Lake Wales | $228.13 | $65.69 – $145.83 |
| Adventhealth Palm Coast Parkway | Palm Coast | $228.13 | $62.41 – $140.31 |
| Adventhealth Tampa | Tampa | $1,013.92 | $65.69 – $145.83 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $217.27 | $62.41 – $143.50 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $34.00 | $52.55 – $95.25 |
| Adventhealth Port Charlotte | Port Charlotte | $485.00 | $65.69 – $119.95 |
| cleveland clinic florida weston hospital | Weston | $520.00 | $21.50 – $86.00 |