Apl(pml-rara) quant - 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.
$100.28 with CorVel Corporation vs $864.69 with NovaNet — 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $100.28 | — |
| Prime Health | WC | $102.39 | — |
| Marion County Schools | WC | $105.56 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $105.56 | — |
| AvMed | HIX | $115.29 | — |
| Simply | MGMCR | $147.96 | — |
| United | OptionsPPO | $167.17 | — |
| Molina Healthcare | MGMCR | $182.55 | — |
| Humana | PPO | $192.15 | — |
| Humana | HMO | $192.15 | — |
| Humana | MGMCRPPO | $207.31 | — |
| Humana | MGMCRHMO | $207.31 | — |
| Wellmed | MGMCR | $207.31 | — |
| Veterans Evaluation Services | MCR | $207.31 | — |
| NDMS Definitive Care | MGMCR | $207.31 | — |
| United | AllPayerAppendix | $207.31 | — |
| Devoted Health | MCR | $207.31 | — |
| United | VACCN | $207.31 | — |
| VA Purchased Care Program | LOGOV | $207.31 | — |
| BCBS | MCRHMO | $211.46 | — |
| Freedom Optimum | MCR | $211.46 | — |
| BCBS | MCRPPO | $211.46 | — |
| United | MCR | $211.46 | — |
| Sunshine State | MCR | $217.68 | — |
| WellCare | MCR | $217.68 | — |
| American Health Plan | MCR | $219.75 | — |
| AvMed | MGMCR | $219.75 | — |
| Evolutions | TieredNetwork | $220.98 | — |
| Evolutions Healthcare | COMM | $220.98 | — |
| Florida Complete Care | MCR | $221.82 | — |
| Align Senior Care | MGMCR | $221.82 | — |
| Cigna Healthspring | MCR | $221.82 | — |
| SECUR | MGMCR | $223.89 | — |
| Gold Kidney of Florida | MCR | $225.97 | — |
| Aetna | MCR | $228.04 | — |
| Clear Spring Health | MCR | $228.04 | — |
| Centurion | GVT | $228.04 | — |
| AvMed | HMOFI | $230.58 | — |
| CarePlus | MGMCR | $236.33 | — |
| Ultimate Health Plan | MCR | $238.41 | — |
| Sunshine State Health Plan | QHP | $245.00 | — |
| Longevity Health Plan | MCR | $248.77 | — |
| Simply Healthcare | HIX | $259.14 | — |
| AvMed | ASOEO | $269.02 | — |
| Aetna | ASA | $288.23 | — |
| Molina Healthcare | HIX | $307.45 | — |
| United | GlobalBenefitPlan | $432.35 | — |
| NaphCare | PRISN | $435.35 | — |
| WellPath | GVT | $435.35 | — |
| University MA Federal Corrections | GVT | $435.35 | — |
| Prime Health Sheriff | COMM | $480.38 | — |
| Plotkin Health | COMM | $480.38 | — |
| Prime Health Sheriff | WORKERSCOMP | $480.38 | — |
| Multiplan | Primary | $749.40 | — |
| PPO Next | COMM | $816.65 | — |
| PPO Next | PPO | $816.65 | — |
| NovaNet | COMM | $864.69 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $3,199.83 | $207.31 – $460.23 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $107.00 | $105.14 – $300.60 |
| Adventhealth Port Charlotte | Port Charlotte | $1,384.57 | $207.31 – $378.55 |
| cleveland clinic florida weston hospital | Weston | $929.50 | $76.88 – $1,215.50 |
| martin north hospital | Stuart | $929.50 | $80.93 – $1,072.50 |
| Baptist Hospital | MIAMI | $453.05 | $83.71 – $627.30 |
| Bethesda Hospital East | BOYNTON BEACH | $453.05 | $83.71 – $627.30 |
| Boca Raton Regional Hospital | BOCA RATON | $534.95 | $116.28 – $323.00 |