Established Patient Office Visit (level 4) at HCA FLORIDA OCALA HOSPITAL
14193 S US HIGHWAY 441, SUMMERFIELD, FL · HCA Florida Healthcare · · NPI 1841237930
$2,711.61
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.
$2,711.61
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.
$84.55 with CorVel Corporation 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $84.55 | ↓ -97% |
| Prime Health | WC | $86.33 | ↓ -97% |
| Careworks (Rockport Community) | WORKERSCOMP | $89.00 | ↓ -97% |
| Marion County Schools | WC | $89.00 | ↓ -97% |
| Aetna | MCR | $159.98 | ↓ -94% |
| BCBS | MCRPPO | $170.83 | ↓ -94% |
| BCBS | MCRHMO | $171.37 | ↓ -94% |
| BCBS | MBN | $287.43 | ↓ -89% |
| BCBS | SBN | $287.43 | ↓ -89% |
| BCBS | BSL | $287.43 | ↓ -89% |
| BCBS | HMO | $385.05 | ↓ -86% |
| Aetna | QHP | $395.90 | ↓ -85% |
| Simply | MGMCR | $417.59 | ↓ -85% |
| BCBS | PPO | $441.99 | ↓ -84% |
| BCBS | NWB | $441.99 | ↓ -84% |
| Cigna | NBN | $471.82 | ↓ -83% |
| United | OptionsPPO | $471.82 | ↓ -83% |
| Aetna | PPO | $485.38 | ↓ -82% |
| Aetna | HMO | $485.38 | ↓ -82% |
| Molina Healthcare | MGMCR | $515.21 | ↓ -81% |
| Humana | PPO | $542.32 | ↓ -80% |
| Humana | HMO | $542.32 | ↓ -80% |
| BCBS | PHS | $683.33 | ↓ -75% |
| Sunshine State Health Plan | QHP | $691.46 | ↓ -75% |
| Aetna | ASA | $813.48 | ↓ -70% |
| Molina Healthcare | HIX | $867.72 | ↓ -68% |
| Cigna | PPO | $1,128.03 | ↓ -58% |
| Cigna | ManagedCareHMO | $1,128.03 | ↓ -58% |
| United | GlobalBenefitPlan | $1,220.22 | ↓ -55% |
| Prime Health Sheriff | COMM | $1,355.81 | ↓ -50% |
| Plotkin Health | COMM | $1,355.81 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $1,355.81 | ↓ -50% |
| WellPath | GVT | $1,626.97 | ↓ -40% |
| Multiplan | Primary | $2,115.06 | ↓ -22% |
| PPO Next | PPO | $2,304.87 | ↓ -15% |
| PPO Next | COMM | $2,304.87 | ↓ -15% |
| NovaNet | COMM | $2,440.45 | ↓ -10% |
| American Health Plan | MCR | $15,000.00 | ↑ +453% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $428.75 | not published |
| Adventhealth Lake Wales | Lake Wales | $650.55 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $747.19 | not published |
| Adventhealth Tampa | Tampa | $639.64 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $524.29 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $984.78 | not published |
| cleveland clinic florida weston hospital | Weston | $499.20 | $39.31 – $384.00 |
| martin north hospital | Stuart | $499.20 | $48.67 – $175.50 |