Assay of adp & amp 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.
$23.39 with Humana vs $74.23 with Careworks (Rockport Community) — 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 |
|---|---|---|---|
| Humana | TRICARE | $23.39 | — |
| Humana | MGMCRHMO | $25.80 | — |
| Humana | MGMCRPPO | $25.80 | — |
| VA Purchased Care Program | LOGOV | $25.80 | — |
| Wellmed | MGMCR | $25.80 | — |
| Veterans Evaluation Services | MCR | $25.80 | — |
| NDMS Definitive Care | MGMCR | $25.80 | — |
| Devoted Health | MCR | $25.80 | — |
| United | VACCN | $25.80 | — |
| United | AllPayerAppendix | $25.80 | — |
| BCBS | MCRPPO | $26.32 | — |
| United | MCR | $26.32 | — |
| BCBS | MCRHMO | $26.32 | — |
| Freedom Optimum | MCR | $26.32 | — |
| Sunshine State | MCR | $27.09 | — |
| WellCare | MCR | $27.09 | — |
| American Health Plan | MCR | $27.35 | — |
| AvMed | MGMCR | $27.35 | — |
| Florida Complete Care | MCR | $27.61 | — |
| Cigna Healthspring | MCR | $27.61 | — |
| Align Senior Care | MGMCR | $27.61 | — |
| SECUR | MGMCR | $27.86 | — |
| Gold Kidney of Florida | MCR | $28.12 | — |
| Aetna | MCR | $28.38 | — |
| Clear Spring Health | MCR | $28.38 | — |
| Centurion | GVT | $28.38 | — |
| CarePlus | MGMCR | $29.41 | — |
| Ultimate Health Plan | MCR | $29.67 | — |
| Longevity Health Plan | MCR | $30.96 | — |
| Simply Healthcare | HIX | $32.25 | — |
| University MA Federal Corrections | GVT | $54.18 | — |
| NaphCare | PRISN | $54.18 | — |
| WellPath | GVT | $54.18 | — |
| CorVel Corporation | WORKERSCOMP | $70.52 | — |
| Prime Health | WC | $72.00 | — |
| Marion County Schools | WC | $74.23 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $74.23 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Assay of adp & amp at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $169.65 | $6.93 – $234.90 |
| Bethesda Hospital East | BOYNTON BEACH | $169.65 | $6.93 – $234.90 |
| Doctors Hospital | CORAL GABLES | $169.65 | $6.72 – $234.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $169.65 | $6.72 – $234.90 |
| Fishermens Community Hospital | MARATHON | $169.65 | $6.72 – $234.90 |
| Homestead Hospital | HOMESTEAD | $169.65 | $6.72 – $234.90 |
| Mariners Hospital | TAVERNIER | $169.65 | $6.72 – $234.90 |
| West Kendall Baptist Hospital | MIAMI | $169.65 | $6.72 – $234.90 |