Metatarsal joint implant at HCA FLORIDA OCALA HOSPITAL
14193 S US HIGHWAY 441, SUMMERFIELD, FL · HCA Florida Healthcare · · NPI 1841237930
not published by hospital
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.
not published by hospital
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.
$434.24 with Humana vs $940.11 with University MA Federal Corrections — 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 |
|---|---|---|---|
| Humana | TRICARE | $434.24 | — |
| Humana | MGMCRHMO | $447.67 | — |
| Humana | MGMCRPPO | $447.67 | — |
| VA Purchased Care Program | LOGOV | $447.67 | — |
| Wellmed | MGMCR | $447.67 | — |
| Veterans Evaluation Services | MCR | $447.67 | — |
| NDMS Definitive Care | MGMCR | $447.67 | — |
| United | VACCN | $447.67 | — |
| Devoted Health | MCR | $447.67 | — |
| BCBS | MCRPPO | $456.62 | — |
| United | MCR | $456.62 | — |
| BCBS | MCRHMO | $456.62 | — |
| Freedom Optimum | MCR | $456.62 | — |
| WellCare | MCR | $470.05 | — |
| Sunshine State | MCR | $470.05 | — |
| AvMed | MGMCR | $474.53 | — |
| American Health Plan | MCR | $474.53 | — |
| Align Senior Care | MGMCR | $479.01 | — |
| Cigna Healthspring | MCR | $479.01 | — |
| Florida Complete Care | MCR | $479.01 | — |
| SECUR | MGMCR | $483.48 | — |
| Gold Kidney of Florida | MCR | $487.96 | — |
| Centurion | GVT | $492.44 | — |
| Aetna | MCR | $492.44 | — |
| Clear Spring Health | MCR | $492.44 | — |
| CarePlus | MGMCR | $510.34 | — |
| Ultimate Health Plan | MCR | $514.82 | — |
| Longevity Health Plan | MCR | $537.20 | — |
| NaphCare | PRISN | $940.11 | — |
| WellPath | GVT | $940.11 | — |
| University MA Federal Corrections | GVT | $940.11 | — |
Visitor-reported prices
Comments
Metatarsal joint implant at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $358.14 – $537.20 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $434.24 – $649.12 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $425.29 – $649.12 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $434.24 – $940.11 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $434.24 – $761.04 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | not published | $434.24 – $492.44 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | not published | $434.24 – $649.12 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | not published | $434.24 – $649.12 |