Established Patient Office Visit (level 1) at HCA FLORIDA OCALA HOSPITAL
14193 S US HIGHWAY 441, SUMMERFIELD, FL · HCA Florida Healthcare · · NPI 1841237930
$144.85
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.
$144.85
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.
$8.55 with Aetna vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| Aetna | MCR | $8.55 | ↓ -94% |
| BCBS | MCRPPO | $9.13 | ↓ -94% |
| BCBS | MCRHMO | $9.15 | ↓ -94% |
| BCBS | MBN | $15.35 | ↓ -89% |
| BCBS | SBN | $15.35 | ↓ -89% |
| BCBS | BSL | $15.35 | ↓ -89% |
| CorVel Corporation | WORKERSCOMP | $18.05 | ↓ -88% |
| Prime Health | WC | $18.43 | ↓ -87% |
| Careworks (Rockport Community) | WORKERSCOMP | $19.00 | ↓ -87% |
| Marion County Schools | WC | $19.00 | ↓ -87% |
| BCBS | HMO | $20.57 | ↓ -86% |
| Aetna | QHP | $21.15 | ↓ -85% |
| Simply | MGMCR | $22.31 | ↓ -85% |
| BCBS | PPO | $23.61 | ↓ -84% |
| BCBS | NWB | $23.61 | ↓ -84% |
| Cigna | NBN | $25.20 | ↓ -83% |
| United | OptionsPPO | $25.20 | ↓ -83% |
| Aetna | PPO | $25.93 | ↓ -82% |
| Aetna | HMO | $25.93 | ↓ -82% |
| Molina Healthcare | MGMCR | $27.52 | ↓ -81% |
| Humana | PPO | $28.97 | ↓ -80% |
| Humana | HMO | $28.97 | ↓ -80% |
| BCBS | PHS | $36.50 | ↓ -75% |
| Sunshine State Health Plan | QHP | $36.94 | ↓ -74% |
| Aetna | ASA | $43.45 | ↓ -70% |
| Molina Healthcare | HIX | $46.35 | ↓ -68% |
| Cigna | PPO | $60.26 | ↓ -58% |
| Cigna | ManagedCareHMO | $60.26 | ↓ -58% |
| United | GlobalBenefitPlan | $65.18 | ↓ -55% |
| Prime Health Sheriff | COMM | $72.42 | ↓ -50% |
| Plotkin Health | COMM | $72.42 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $72.42 | ↓ -50% |
| WellPath | GVT | $86.91 | ↓ -40% |
| Multiplan | Primary | $112.98 | ↓ -22% |
| PPO Next | PPO | $123.12 | ↓ -15% |
| PPO Next | COMM | $123.12 | ↓ -15% |
| NovaNet | COMM | $130.37 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +10256% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $265.94 | not published |
| Adventhealth Lake Wales | Lake Wales | $543.34 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $360.17 | not published |
| Adventhealth Tampa | Tampa | $313.58 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $197.87 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $584.72 | not published |
| cleveland clinic florida weston hospital | Weston | $122.20 | $5.59 – $159.80 |
| martin north hospital | Stuart | $122.20 | $6.99 – $94.00 |