Mayo factor x at HCA FLORIDA OCALA HOSPITAL
14193 S US HIGHWAY 441, SUMMERFIELD, FL · HCA Florida Healthcare · · NPI 1841237930
$15.93
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.
$15.93
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.
$1.91 with AvMed vs $98.33 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 | $1.91 | ↓ -88% |
| Simply | MGMCR | $2.45 | ↓ -85% |
| United | OptionsPPO | $2.77 | ↓ -83% |
| Molina Healthcare | MGMCR | $3.03 | ↓ -81% |
| Humana | PPO | $3.19 | ↓ -80% |
| Humana | HMO | $3.19 | ↓ -80% |
| Evolutions | TieredNetwork | $3.66 | ↓ -77% |
| Evolutions Healthcare | COMM | $3.66 | ↓ -77% |
| AvMed | HMOFI | $3.82 | ↓ -76% |
| Sunshine State Health Plan | QHP | $4.06 | ↓ -75% |
| AvMed | ASOEO | $4.46 | ↓ -72% |
| Aetna | ASA | $4.78 | ↓ -70% |
| Molina Healthcare | HIX | $5.10 | ↓ -68% |
| United | GlobalBenefitPlan | $7.17 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $7.96 | ↓ -50% |
| Prime Health Sheriff | COMM | $7.96 | ↓ -50% |
| Plotkin Health | COMM | $7.96 | ↓ -50% |
| Multiplan | Primary | $12.43 | ↓ -22% |
| PPO Next | PPO | $13.54 | ↓ -15% |
| PPO Next | COMM | $13.54 | ↓ -15% |
| NovaNet | COMM | $14.34 | ↓ -10% |
| Humana | TRICARE | $16.23 | ↑ +2% |
| United | AllPayerAppendix | $17.90 | ↑ +12% |
| Devoted Health | MCR | $17.90 | ↑ +12% |
| NDMS Definitive Care | MGMCR | $17.90 | ↑ +12% |
| Veterans Evaluation Services | MCR | $17.90 | ↑ +12% |
| VA Purchased Care Program | LOGOV | $17.90 | ↑ +12% |
| Humana | MGMCRPPO | $17.90 | ↑ +12% |
| Humana | MGMCRHMO | $17.90 | ↑ +12% |
| United | VACCN | $17.90 | ↑ +12% |
| Wellmed | MGMCR | $17.90 | ↑ +12% |
| United | MCR | $18.26 | ↑ +15% |
| BCBS | MCRHMO | $18.26 | ↑ +15% |
| BCBS | MCRPPO | $18.26 | ↑ +15% |
| Freedom Optimum | MCR | $18.26 | ↑ +15% |
| Sunshine State | MCR | $18.79 | ↑ +18% |
| WellCare | MCR | $18.79 | ↑ +18% |
| AvMed | MGMCR | $18.97 | ↑ +19% |
| American Health Plan | MCR | $18.97 | ↑ +19% |
| Cigna Healthspring | MCR | $19.15 | ↑ +20% |
| Florida Complete Care | MCR | $19.15 | ↑ +20% |
| Align Senior Care | MGMCR | $19.15 | ↑ +20% |
| SECUR | MGMCR | $19.33 | ↑ +21% |
| Gold Kidney of Florida | MCR | $19.51 | ↑ +22% |
| Clear Spring Health | MCR | $19.69 | ↑ +24% |
| Centurion | GVT | $19.69 | ↑ +24% |
| Aetna | MCR | $19.69 | ↑ +24% |
| CarePlus | MGMCR | $20.41 | ↑ +28% |
| Ultimate Health Plan | MCR | $20.58 | ↑ +29% |
| Longevity Health Plan | MCR | $21.48 | ↑ +35% |
| Simply Healthcare | HIX | $22.38 | ↑ +40% |
| NaphCare | PRISN | $37.59 | ↑ +136% |
| University MA Federal Corrections | GVT | $37.59 | ↑ +136% |
| WellPath | GVT | $37.59 | ↑ +136% |
| CorVel Corporation | WORKERSCOMP | $93.41 | ↑ +486% |
| Prime Health | WC | $95.38 | ↑ +499% |
| Marion County Schools | WC | $98.33 | ↑ +517% |
| Careworks (Rockport Community) | WORKERSCOMP | $98.33 | ↑ +517% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Mayo factor x at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $71.84 | $17.00 – $29.88 |
| Adventhealth Palm Coast Parkway | Palm Coast | $7.94 | $17.00 – $38.23 |
| Adventhealth Tampa | Tampa | $179.91 | $17.90 – $39.74 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $61.92 | $17.00 – $39.10 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $367.00 | $14.32 – $100.00 |
| Adventhealth Port Charlotte | Port Charlotte | $119.09 | $17.90 – $32.69 |
| cleveland clinic florida weston hospital | Weston | $87.10 | $2.12 – $67.15 |
| martin north hospital | Stuart | $87.10 | $2.23 – $59.25 |