Ghs phenylketonurid at HCA FLORIDA OCALA HOSPITAL
14193 S US HIGHWAY 441, SUMMERFIELD, FL · HCA Florida Healthcare · · NPI 1841237930
$25.49
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.
$25.49
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.
$3.06 with AvMed vs $74.23 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 | $3.06 | ↓ -88% |
| Simply | MGMCR | $3.93 | ↓ -85% |
| United | OptionsPPO | $4.44 | ↓ -83% |
| Molina Healthcare | MGMCR | $4.84 | ↓ -81% |
| Humana | TRICARE | $4.99 | ↓ -80% |
| Humana | HMO | $5.10 | ↓ -80% |
| Humana | PPO | $5.10 | ↓ -80% |
| Devoted Health | MCR | $5.50 | ↓ -78% |
| United | VACCN | $5.50 | ↓ -78% |
| United | AllPayerAppendix | $5.50 | ↓ -78% |
| VA Purchased Care Program | LOGOV | $5.50 | ↓ -78% |
| Humana | MGMCRHMO | $5.50 | ↓ -78% |
| Humana | MGMCRPPO | $5.50 | ↓ -78% |
| Wellmed | MGMCR | $5.50 | ↓ -78% |
| Veterans Evaluation Services | MCR | $5.50 | ↓ -78% |
| NDMS Definitive Care | MGMCR | $5.50 | ↓ -78% |
| United | MCR | $5.61 | ↓ -78% |
| BCBS | MCRHMO | $5.61 | ↓ -78% |
| BCBS | MCRPPO | $5.61 | ↓ -78% |
| Freedom Optimum | MCR | $5.61 | ↓ -78% |
| Sunshine State | MCR | $5.78 | ↓ -77% |
| WellCare | MCR | $5.78 | ↓ -77% |
| AvMed | MGMCR | $5.83 | ↓ -77% |
| American Health Plan | MCR | $5.83 | ↓ -77% |
| Evolutions | TieredNetwork | $5.86 | ↓ -77% |
| Evolutions Healthcare | COMM | $5.86 | ↓ -77% |
| Florida Complete Care | MCR | $5.89 | ↓ -77% |
| Cigna Healthspring | MCR | $5.89 | ↓ -77% |
| Align Senior Care | MGMCR | $5.89 | ↓ -77% |
| SECUR | MGMCR | $5.94 | ↓ -77% |
| Gold Kidney of Florida | MCR | $6.00 | ↓ -76% |
| Centurion | GVT | $6.05 | ↓ -76% |
| Aetna | MCR | $6.05 | ↓ -76% |
| Clear Spring Health | MCR | $6.05 | ↓ -76% |
| AvMed | HMOFI | $6.12 | ↓ -76% |
| CarePlus | MGMCR | $6.27 | ↓ -75% |
| Ultimate Health Plan | MCR | $6.32 | ↓ -75% |
| Sunshine State Health Plan | QHP | $6.50 | ↓ -74% |
| Longevity Health Plan | MCR | $6.60 | ↓ -74% |
| Simply Healthcare | HIX | $6.88 | ↓ -73% |
| AvMed | ASOEO | $7.14 | ↓ -72% |
| Aetna | ASA | $7.65 | ↓ -70% |
| Molina Healthcare | HIX | $8.16 | ↓ -68% |
| United | GlobalBenefitPlan | $11.47 | ↓ -55% |
| WellPath | GVT | $11.55 | ↓ -55% |
| NaphCare | PRISN | $11.55 | ↓ -55% |
| University MA Federal Corrections | GVT | $11.55 | ↓ -55% |
| Prime Health Sheriff | COMM | $12.74 | ↓ -50% |
| Plotkin Health | COMM | $12.74 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $12.74 | ↓ -50% |
| Multiplan | Primary | $19.88 | ↓ -22% |
| PPO Next | COMM | $21.67 | ↓ -15% |
| PPO Next | PPO | $21.67 | ↓ -15% |
| NovaNet | COMM | $22.94 | ↓ -10% |
| CorVel Corporation | WORKERSCOMP | $70.52 | ↑ +177% |
| Prime Health | WC | $72.00 | ↑ +182% |
| Marion County Schools | WC | $74.23 | ↑ +191% |
| Careworks (Rockport Community) | WORKERSCOMP | $74.23 | ↑ +191% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
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Ghs phenylketonurid at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $23.29 | $5.22 – $9.18 |
| Adventhealth Tampa | Tampa | $82.09 | $5.50 – $12.21 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $26.00 | $4.40 – $75.49 |
| Adventhealth Port Charlotte | Port Charlotte | $19.25 | $5.50 – $10.04 |
| cleveland clinic florida weston hospital | Weston | $92.95 | $2.59 – $121.55 |
| martin north hospital | Stuart | $183.30 | $2.73 – $107.25 |
| indian river hospital | Vero Beach | $8.45 | $2.59 – $10.40 |
| Boca Raton Regional Hospital | BOCA RATON | $18.20 | $5.50 – $18.28 |