Microbe susceptible mlc 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$36.40 with Humana vs $101.22 with Careworks (Rockport Community) — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $36.40 | — |
| Humana | MGMCRHMO | $40.17 | — |
| Humana | MGMCRPPO | $40.17 | — |
| VA Purchased Care Program | LOGOV | $40.17 | — |
| Wellmed | MGMCR | $40.17 | — |
| Veterans Evaluation Services | MCR | $40.17 | — |
| NDMS Definitive Care | MGMCR | $40.17 | — |
| Devoted Health | MCR | $40.17 | — |
| United | VACCN | $40.17 | — |
| United | AllPayerAppendix | $40.17 | — |
| BCBS | MCRPPO | $40.97 | — |
| United | MCR | $40.97 | — |
| BCBS | MCRHMO | $40.97 | — |
| Freedom Optimum | MCR | $40.97 | — |
| Sunshine State | MCR | $42.18 | — |
| WellCare | MCR | $42.18 | — |
| American Health Plan | MCR | $42.58 | — |
| AvMed | MGMCR | $42.58 | — |
| Florida Complete Care | MCR | $42.98 | — |
| Cigna Healthspring | MCR | $42.98 | — |
| Align Senior Care | MGMCR | $42.98 | — |
| SECUR | MGMCR | $43.38 | — |
| Gold Kidney of Florida | MCR | $43.79 | — |
| Aetna | MCR | $44.19 | — |
| Clear Spring Health | MCR | $44.19 | — |
| Centurion | GVT | $44.19 | — |
| CarePlus | MGMCR | $45.79 | — |
| Ultimate Health Plan | MCR | $46.20 | — |
| Longevity Health Plan | MCR | $48.20 | — |
| Simply Healthcare | HIX | $50.21 | — |
| University MA Federal Corrections | GVT | $84.36 | — |
| NaphCare | PRISN | $84.36 | — |
| WellPath | GVT | $84.36 | — |
| CorVel Corporation | WORKERSCOMP | $96.16 | — |
| Prime Health | WC | $98.18 | — |
| Marion County Schools | WC | $101.22 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $101.22 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Microbe susceptible mlc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $620.03 | $40.17 – $89.18 |
| Adventhealth Port Charlotte | Port Charlotte | $140.60 | $40.17 – $73.35 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $30.90 | $35.35 – $100.43 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns | $30.90 | $35.35 – $100.43 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $30.90 | $35.35 – $100.43 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $30.90 | $35.35 – $100.43 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | $114.63 | $36.40 – $101.26 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY | $140.21 | $36.15 – $112.11 |