Bundled special stain group 2 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.
$11.96 with AvMed vs $203.40 with Marion County Schools — 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 | $11.96 | — |
| Simply Healthcare | HIX | $12.65 | — |
| Simply | MGMCR | $15.34 | — |
| United | OptionsPPO | $17.34 | — |
| Molina Healthcare | MGMCR | $18.93 | — |
| Humana | HMO | $19.93 | — |
| Humana | PPO | $19.93 | — |
| Evolutions Healthcare | COMM | $22.91 | — |
| Evolutions | TieredNetwork | $22.91 | — |
| AvMed | HMOFI | $23.91 | — |
| Sunshine State Health Plan | QHP | $25.41 | — |
| AvMed | ASOEO | $27.90 | — |
| Aetna | ASA | $29.89 | — |
| Molina Healthcare | HIX | $31.88 | — |
| United | AllPayerAppendix | $33.84 | — |
| United | GlobalBenefitPlan | $44.83 | — |
| Prime Health Sheriff | COMM | $49.81 | — |
| Plotkin Health | COMM | $49.81 | — |
| Prime Health Sheriff | WORKERSCOMP | $49.81 | — |
| Multiplan | Primary | $77.71 | — |
| PPO Next | PPO | $84.69 | — |
| PPO Next | COMM | $84.69 | — |
| NovaNet | COMM | $89.67 | — |
| CorVel Corporation | WORKERSCOMP | $193.23 | — |
| Prime Health | WC | $197.30 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $203.40 | — |
| Marion County Schools | WC | $203.40 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Bundled special stain group 2 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $284.93 | $131.99 – $231.89 |
| Adventhealth Lake Wales | Lake Wales | $333.94 | $138.94 – $308.45 |
| Adventhealth Palm Coast Parkway | Palm Coast | $39.92 | $131.99 – $296.76 |
| Adventhealth Tampa | Tampa | $418.76 | $138.94 – $308.45 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $186.61 | $131.99 – $303.51 |
| Adventhealth Port Charlotte | Port Charlotte | $166.19 | $138.94 – $253.70 |
| cleveland clinic florida weston hospital | Weston | $98.80 | $7.14 – $152.83 |
| martin north hospital | Stuart | $111.15 | $12.45 – $152.83 |