Arthrd pst tq 1ntrspc lum 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.
?
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.
$3,950.00 with Molina Healthcare vs $60,209.00 with Simply Healthcare — 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 |
|---|---|---|---|
| Molina Healthcare | MGMCR | $3,950.00 | — |
| Simply | MGMCR | $3,950.00 | — |
| CorVel Corporation | WORKERSCOMP | $4,903.20 | — |
| Prime Health | WC | $5,006.42 | — |
| Marion County Schools | WC | $5,161.26 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $5,161.26 | — |
| Molina Healthcare | HIX | $6,243.00 | — |
| Sunshine State Health Plan | QHP | $6,641.00 | — |
| Evolutions Healthcare | COMM | $8,581.00 | — |
| Evolutions | TieredNetwork | $9,010.00 | — |
| AvMed | HIX | $10,557.00 | — |
| BCBS | PHS | $13,437.00 | — |
| United | AllPayerAppendix | $13,688.00 | — |
| Cigna | NBN | $14,857.00 | — |
| BCBS | MBN | $18,340.00 | — |
| BCBS | BSL | $18,340.00 | — |
| BCBS | SBN | $18,340.00 | — |
| American Health Plan | MCR | $19,500.00 | — |
| Gold Kidney of Florida | MCR | $19,500.00 | — |
| AvMed | HMOFI | $20,942.00 | — |
| BCBS | HMO | $21,661.00 | — |
| AvMed | ASOEO | $23,005.00 | — |
| BCBS | NWB | $27,429.00 | — |
| BCBS | PPO | $27,429.00 | — |
| Aetna | HMO | $33,838.00 | — |
| Aetna | PPO | $33,838.00 | — |
| Cigna | ManagedCareHMO | $35,535.00 | — |
| Cigna | PPO | $35,535.00 | — |
| Simply Healthcare | HIX | $60,209.00 | — |
Visitor-reported prices
Comments
Arthrd pst tq 1ntrspc lum at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $6,318.00 | $1,064.70 – $31,169.04 |
| martin north hospital | Stuart | $6,318.00 | $1,218.92 – $31,169.04 |
| indian river hospital | Vero Beach | $6,318.00 | $1,064.70 – $31,169.04 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $5,140.73 – $5,248.95 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $28,335.49 – $51,740.60 |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |
| Boca Raton Regional Hospital | BOCA RATON | not published | not published |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $5,218.54 – $5,328.40 |