Breast reconstr w/lat flap 19361 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.
$3,915.96 with CorVel Corporation vs $54,020.00 with Cigna — 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $3,915.96 | — |
| Simply | MGMCR | $3,950.00 | — |
| Molina Healthcare | MGMCR | $3,950.00 | — |
| Prime Health | WC | $3,998.40 | — |
| Marion County Schools | WC | $4,122.06 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $4,122.06 | — |
| Molina Healthcare | HIX | $6,243.00 | — |
| Sunshine State Health Plan | QHP | $6,641.00 | — |
| Aetna | QHP | $7,519.00 | — |
| Evolutions Healthcare | COMM | $8,581.00 | — |
| Evolutions | TieredNetwork | $9,010.00 | — |
| United | AllPayerAppendix | $9,204.00 | — |
| Aetna | PPO | $9,824.00 | — |
| Aetna | HMO | $9,824.00 | — |
| AvMed | HIX | $10,557.00 | — |
| BCBS | PHS | $14,110.00 | — |
| Humana | PPO | $16,840.00 | — |
| Humana | HMO | $16,840.00 | — |
| AvMed | HMOFI | $20,942.00 | — |
| Cigna | NBN | $22,585.00 | — |
| AvMed | ASOEO | $23,005.00 | — |
| BCBS | SBN | $24,260.00 | — |
| BCBS | MBN | $24,260.00 | — |
| BCBS | BSL | $24,260.00 | — |
| BCBS | HMO | $30,162.00 | — |
| BCBS | PPO | $34,654.00 | — |
| BCBS | NWB | $34,654.00 | — |
| Cigna | ManagedCareHMO | $54,020.00 | — |
| Cigna | PPO | $54,020.00 | — |
Visitor-reported prices
Comments
Breast reconstr w/lat flap 19361 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $6,073.60 | $1,048.12 – $9,344.00 |
| martin north hospital | Stuart | $6,073.60 | $1,202.83 – $9,344.00 |
| indian river hospital | Vero Beach | $6,073.60 | $1,048.12 – $9,344.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,105.66 – $4,192.10 |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |
| Baptist Health Hospital Doral | SOUTH MIAMI | not published | not published |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $4,167.82 – $4,255.56 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $4,310.81 – $4,401.56 |