Pq dr cath chg w cont s&i at HCA FLORIDA OCALA HOSPITAL
14193 S US HIGHWAY 441, SUMMERFIELD, FL · HCA Florida Healthcare · · NPI 1841237930
$3,335.31
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.
$3,335.31
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.
$186.08 with Aetna vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| Aetna | MCR | $186.08 | ↓ -94% |
| BCBS | MCRPPO | $198.69 | ↓ -94% |
| BCBS | MCRHMO | $199.32 | ↓ -94% |
| AvMed | HIX | $378.46 | ↓ -89% |
| Simply | MGMCR | $485.70 | ↓ -85% |
| United | OptionsPPO | $548.77 | ↓ -84% |
| Molina Healthcare | MGMCR | $599.24 | ↓ -82% |
| Humana | PPO | $630.77 | ↓ -81% |
| Humana | HMO | $630.77 | ↓ -81% |
| Evolutions | TieredNetwork | $725.39 | ↓ -78% |
| Evolutions Healthcare | COMM | $725.39 | ↓ -78% |
| AvMed | HMOFI | $756.93 | ↓ -77% |
| Sunshine State Health Plan | QHP | $804.24 | ↓ -76% |
| AvMed | ASOEO | $883.08 | ↓ -74% |
| Aetna | ASA | $946.16 | ↓ -72% |
| Molina Healthcare | HIX | $1,009.24 | ↓ -70% |
| United | GlobalBenefitPlan | $1,419.24 | ↓ -57% |
| Prime Health Sheriff | COMM | $1,576.93 | ↓ -53% |
| Prime Health Sheriff | WORKERSCOMP | $1,576.93 | ↓ -53% |
| Plotkin Health | COMM | $1,576.93 | ↓ -53% |
| WellPath | GVT | $1,892.32 | ↓ -43% |
| CorVel Corporation | WORKERSCOMP | $2,128.32 | ↓ -36% |
| Prime Health | WC | $2,173.13 | ↓ -35% |
| Marion County Schools | WC | $2,240.34 | ↓ -33% |
| Careworks (Rockport Community) | WORKERSCOMP | $2,240.34 | ↓ -33% |
| Multiplan | Primary | $2,460.02 | ↓ -26% |
| PPO Next | COMM | $2,680.79 | ↓ -20% |
| PPO Next | PPO | $2,680.79 | ↓ -20% |
| NovaNet | COMM | $2,838.48 | ↓ -15% |
| American Health Plan | MCR | $15,000.00 | ↑ +350% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Pq dr cath chg w cont s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $2,043.98 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $3,979.62 | not published |
| Adventhealth Tampa | Tampa | $2,441.33 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,106.83 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,572.00 | $2,231.43 – $2,278.40 |
| Adventhealth Port Charlotte | Port Charlotte | $1,933.05 | not published |
| cleveland clinic florida weston hospital | Weston | $1,069.90 | $29.83 – $1,116.90 |
| martin north hospital | Stuart | $1,069.90 | $26.69 – $657.00 |