Closed tx sesamoid fx 28530 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.
$1,394.00 with Simply Healthcare vs $35,535.00 with Cigna — 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 |
|---|---|---|---|
| Simply Healthcare | HIX | $1,394.00 | — |
| BCBS | BSL | $1,844.00 | — |
| BCBS | MBN | $1,844.00 | — |
| BCBS | SBN | $1,844.00 | — |
| CorVel Corporation | WORKERSCOMP | $2,155.80 | — |
| Prime Health | WC | $2,201.18 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $2,269.26 | — |
| Marion County Schools | WC | $2,269.26 | — |
| BCBS | PHS | $2,436.00 | — |
| BCBS | HMO | $2,537.00 | — |
| BCBS | PPO | $2,563.00 | — |
| BCBS | NWB | $2,563.00 | — |
| United | AllPayerAppendix | $3,495.00 | — |
| Molina Healthcare | MGMCR | $3,950.00 | — |
| Simply | MGMCR | $3,950.00 | — |
| AvMed | HIX | $4,117.00 | — |
| Evolutions | TieredNetwork | $4,121.00 | — |
| Molina Healthcare | HIX | $6,243.00 | — |
| Sunshine State Health Plan | QHP | $6,641.00 | — |
| AvMed | HMOFI | $8,168.00 | — |
| AvMed | ASOEO | $8,971.00 | — |
| Ultimate Health Plan | MCR | $12,500.00 | — |
| Cigna | NBN | $14,857.00 | — |
| Cigna | PPO | $35,535.00 | — |
| Cigna | ManagedCareHMO | $35,535.00 | — |
Visitor-reported prices
Comments
Closed tx sesamoid fx 28530 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $896.35 | $53.27 – $1,172.15 |
| martin north hospital | Stuart | $896.35 | $77.27 – $689.50 |
| Bethesda Hospital East | BOYNTON BEACH | $863.20 | $257.59 – $1,195.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $863.20 | $231.07 – $1,195.20 |
| AdventHealth Orlando | Orlando | $777.00 | $257.59 – $682.61 |
| Adventhealth Carrollwood | Tampa | $2,536.71 | not published |
| Adventhealth Daytona Beach | Daytona Beach | not published | $244.71 – $429.92 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $244.71 – $550.19 |