Lev 5 hosp type b ed visit at HCA FLORIDA OCALA HOSPITAL
14193 S US HIGHWAY 441, SUMMERFIELD, FL · HCA Florida Healthcare · · NPI 1841237930
$5,549.32
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.
$5,549.32
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.
$749.12 with CorVel Corporation vs $11,053.00 with Cigna — 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 | $749.12 | ↓ -87% |
| Prime Health | WC | $764.89 | ↓ -86% |
| Marion County Schools | WC | $788.55 | ↓ -86% |
| Careworks (Rockport Community) | WORKERSCOMP | $788.55 | ↓ -86% |
| Molina Healthcare | HIX | $960.00 | ↓ -83% |
| United | OptionsPPO | $965.58 | ↓ -83% |
| Sunshine State Health Plan | QHP | $1,507.00 | ↓ -73% |
| Aetna | ASA | $1,664.80 | ↓ -70% |
| BCBS | BSL | $2,134.00 | ↓ -62% |
| BCBS | SBN | $2,134.00 | ↓ -62% |
| BCBS | MBN | $2,134.00 | ↓ -62% |
| Simply Healthcare | HIX | $2,150.00 | ↓ -61% |
| Evolutions Healthcare | COMM | $2,205.00 | ↓ -60% |
| Evolutions | TieredNetwork | $2,315.00 | ↓ -58% |
| United | GlobalBenefitPlan | $2,497.19 | ↓ -55% |
| BCBS | HMO | $2,653.00 | ↓ -52% |
| Plotkin Health | COMM | $2,774.66 | ↓ -50% |
| Prime Health Sheriff | COMM | $2,774.66 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $2,774.66 | ↓ -50% |
| BCBS | NWB | $3,055.00 | ↓ -45% |
| BCBS | PPO | $3,055.00 | ↓ -45% |
| AvMed | HIX | $4,117.00 | ↓ -26% |
| Multiplan | Primary | $4,328.47 | ↓ -22% |
| United | AllPayerAppendix | $4,566.00 | ↓ -18% |
| Cigna | NBN | $4,622.00 | ↓ -17% |
| PPO Next | PPO | $4,716.92 | ↓ -15% |
| PPO Next | COMM | $4,716.92 | ↓ -15% |
| BCBS | PHS | $4,756.00 | ↓ -14% |
| NovaNet | COMM | $4,994.39 | ↓ -10% |
| AvMed | HMOFI | $8,168.00 | ↑ +47% |
| AvMed | ASOEO | $8,971.00 | ↑ +62% |
| Cigna | ManagedCareHMO | $11,053.00 | ↑ +99% |
| Cigna | PPO | $11,053.00 | ↑ +99% |
Visitor-reported prices
Comments
Lev 5 hosp type b ed visit at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $4,136.14 | $797.31 – $814.09 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $5,929.31 | $741.89 – $757.51 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $7,072.41 | $797.31 – $814.09 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $1,782.00 | $863.44 – $881.61 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE | $4,973.10 | $797.31 – $814.09 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY | $5,351.84 | $797.31 – $814.09 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie | $6,372.00 | $881.61 – $881.61 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | $3,145.00 | $818.37 – $835.60 |