Factor ix at HCA FLORIDA OCALA HOSPITAL
14193 S US HIGHWAY 441, SUMMERFIELD, FL · HCA Florida Healthcare · · NPI 1841237930
$8.96
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.
$8.96
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.
$1.08 with AvMed vs $178.34 with Careworks (Rockport Community) — 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 | $1.08 | ↓ -88% |
| Simply | MGMCR | $1.38 | ↓ -85% |
| United | OptionsPPO | $1.56 | ↓ -83% |
| Molina Healthcare | MGMCR | $1.70 | ↓ -81% |
| Humana | PPO | $1.79 | ↓ -80% |
| Humana | HMO | $1.79 | ↓ -80% |
| Evolutions | TieredNetwork | $2.06 | ↓ -77% |
| Evolutions Healthcare | COMM | $2.06 | ↓ -77% |
| AvMed | HMOFI | $2.15 | ↓ -76% |
| Sunshine State Health Plan | QHP | $2.28 | ↓ -75% |
| AvMed | ASOEO | $2.51 | ↓ -72% |
| Aetna | ASA | $2.69 | ↓ -70% |
| Molina Healthcare | HIX | $2.87 | ↓ -68% |
| United | GlobalBenefitPlan | $4.03 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $4.48 | ↓ -50% |
| Prime Health Sheriff | COMM | $4.48 | ↓ -50% |
| Plotkin Health | COMM | $4.48 | ↓ -50% |
| Multiplan | Primary | $6.99 | ↓ -22% |
| PPO Next | PPO | $7.62 | ↓ -15% |
| PPO Next | COMM | $7.62 | ↓ -15% |
| NovaNet | COMM | $8.06 | ↓ -10% |
| Humana | TRICARE | $17.26 | ↑ +93% |
| United | AllPayerAppendix | $19.04 | ↑ +113% |
| Devoted Health | MCR | $19.04 | ↑ +113% |
| NDMS Definitive Care | MGMCR | $19.04 | ↑ +113% |
| Veterans Evaluation Services | MCR | $19.04 | ↑ +113% |
| VA Purchased Care Program | LOGOV | $19.04 | ↑ +113% |
| Humana | MGMCRPPO | $19.04 | ↑ +113% |
| Humana | MGMCRHMO | $19.04 | ↑ +113% |
| United | VACCN | $19.04 | ↑ +113% |
| Wellmed | MGMCR | $19.04 | ↑ +113% |
| United | MCR | $19.42 | ↑ +117% |
| BCBS | MCRHMO | $19.42 | ↑ +117% |
| BCBS | MCRPPO | $19.42 | ↑ +117% |
| Freedom Optimum | MCR | $19.42 | ↑ +117% |
| Sunshine State | MCR | $19.99 | ↑ +123% |
| WellCare | MCR | $19.99 | ↑ +123% |
| AvMed | MGMCR | $20.18 | ↑ +125% |
| American Health Plan | MCR | $20.18 | ↑ +125% |
| Cigna Healthspring | MCR | $20.37 | ↑ +127% |
| Florida Complete Care | MCR | $20.37 | ↑ +127% |
| Align Senior Care | MGMCR | $20.37 | ↑ +127% |
| SECUR | MGMCR | $20.56 | ↑ +129% |
| Gold Kidney of Florida | MCR | $20.75 | ↑ +132% |
| Clear Spring Health | MCR | $20.94 | ↑ +134% |
| Centurion | GVT | $20.94 | ↑ +134% |
| Aetna | MCR | $20.94 | ↑ +134% |
| CarePlus | MGMCR | $21.71 | ↑ +142% |
| Ultimate Health Plan | MCR | $21.90 | ↑ +144% |
| Longevity Health Plan | MCR | $22.85 | ↑ +155% |
| Simply Healthcare | HIX | $23.80 | ↑ +166% |
| NaphCare | PRISN | $39.98 | ↑ +346% |
| University MA Federal Corrections | GVT | $39.98 | ↑ +346% |
| WellPath | GVT | $39.98 | ↑ +346% |
| CorVel Corporation | WORKERSCOMP | $169.42 | ↑ +1791% |
| Prime Health | WC | $172.99 | ↑ +1831% |
| Marion County Schools | WC | $178.34 | ↑ +1890% |
| Careworks (Rockport Community) | WORKERSCOMP | $178.34 | ↑ +1890% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Factor ix at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $68.40 | $18.09 – $31.78 |
| Adventhealth Lake Wales | Lake Wales | $59.98 | $19.04 – $42.27 |
| Adventhealth Palm Coast Parkway | Palm Coast | $69.85 | $18.09 – $40.67 |
| Adventhealth Tampa | Tampa | $94.52 | $19.04 – $42.27 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $61.91 | $18.09 – $41.59 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $386.00 | $15.23 – $181.37 |
| Adventhealth Port Charlotte | Port Charlotte | $119.70 | $19.04 – $34.77 |
| cleveland clinic florida weston hospital | Weston | $109.85 | $12.26 – $141.10 |