Consultation/report referred slides prepared elsewhere at HCA FLORIDA OCALA HOSPITAL
14193 S US HIGHWAY 441, SUMMERFIELD, FL · HCA Florida Healthcare · · NPI 1841237930
$270.00
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.
$270.00
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.
$32.40 with AvMed vs $296.91 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 | $32.40 | ↓ -88% |
| United | AllPayerAppendix | $33.84 | ↓ -87% |
| Simply Healthcare | HIX | $34.29 | ↓ -87% |
| Simply | MGMCR | $41.58 | ↓ -85% |
| United | OptionsPPO | $46.98 | ↓ -83% |
| Molina Healthcare | MGMCR | $51.30 | ↓ -81% |
| Humana | PPO | $54.00 | ↓ -80% |
| Humana | HMO | $54.00 | ↓ -80% |
| Evolutions Healthcare | COMM | $62.10 | ↓ -77% |
| Evolutions | TieredNetwork | $62.10 | ↓ -77% |
| AvMed | HMOFI | $64.80 | ↓ -76% |
| Sunshine State Health Plan | QHP | $68.85 | ↓ -75% |
| AvMed | ASOEO | $75.60 | ↓ -72% |
| Aetna | ASA | $81.00 | ↓ -70% |
| Molina Healthcare | HIX | $86.40 | ↓ -68% |
| United | GlobalBenefitPlan | $121.50 | ↓ -55% |
| Prime Health Sheriff | COMM | $135.00 | ↓ -50% |
| Plotkin Health | COMM | $135.00 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $135.00 | ↓ -50% |
| Multiplan | Primary | $210.60 | ↓ -22% |
| PPO Next | PPO | $229.50 | ↓ -15% |
| PPO Next | COMM | $229.50 | ↓ -15% |
| NovaNet | COMM | $243.00 | ↓ -10% |
| CorVel Corporation | WORKERSCOMP | $282.06 | ↑ +4% |
| Prime Health | WC | $288.00 | ↑ +7% |
| Careworks (Rockport Community) | WORKERSCOMP | $296.91 | ↑ +10% |
| Marion County Schools | WC | $296.91 | ↑ +10% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $439.36 | not published |
| Adventhealth Lake Wales | Lake Wales | $1,024.75 | $39.00 – $86.59 |
| Adventhealth Palm Coast Parkway | Palm Coast | $492.75 | $37.05 – $83.31 |
| Adventhealth Tampa | Tampa | $639.19 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $169.00 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $406.00 | $33.84 – $301.96 |
| Adventhealth Port Charlotte | Port Charlotte | $225.94 | $39.00 – $71.22 |
| cleveland clinic florida weston hospital | Weston | $455.65 | $30.30 – $106.00 |