Susceptibility mic per plate 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.
$3.93 with AvMed vs $110.86 with Marion County Schools — 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 | $3.93 | — |
| Simply | MGMCR | $5.04 | — |
| United | OptionsPPO | $5.69 | — |
| Molina Healthcare | MGMCR | $6.22 | — |
| Humana | HMO | $6.54 | — |
| Humana | PPO | $6.54 | — |
| Evolutions Healthcare | COMM | $7.53 | — |
| Evolutions | TieredNetwork | $7.53 | — |
| Humana | TRICARE | $7.84 | — |
| AvMed | HMOFI | $7.85 | — |
| Sunshine State Health Plan | QHP | $8.34 | — |
| United | AllPayerAppendix | $8.65 | — |
| VA Purchased Care Program | LOGOV | $8.65 | — |
| Humana | MGMCRHMO | $8.65 | — |
| Humana | MGMCRPPO | $8.65 | — |
| Wellmed | MGMCR | $8.65 | — |
| Veterans Evaluation Services | MCR | $8.65 | — |
| NDMS Definitive Care | MGMCR | $8.65 | — |
| Devoted Health | MCR | $8.65 | — |
| United | VACCN | $8.65 | — |
| United | MCR | $8.82 | — |
| BCBS | MCRHMO | $8.82 | — |
| BCBS | MCRPPO | $8.82 | — |
| Freedom Optimum | MCR | $8.82 | — |
| Sunshine State | MCR | $9.08 | — |
| WellCare | MCR | $9.08 | — |
| AvMed | ASOEO | $9.16 | — |
| AvMed | MGMCR | $9.17 | — |
| American Health Plan | MCR | $9.17 | — |
| Florida Complete Care | MCR | $9.26 | — |
| Cigna Healthspring | MCR | $9.26 | — |
| Align Senior Care | MGMCR | $9.26 | — |
| SECUR | MGMCR | $9.34 | — |
| Gold Kidney of Florida | MCR | $9.43 | — |
| Aetna | MCR | $9.52 | — |
| Centurion | GVT | $9.52 | — |
| Clear Spring Health | MCR | $9.52 | — |
| Aetna | ASA | $9.82 | — |
| CarePlus | MGMCR | $9.86 | — |
| Ultimate Health Plan | MCR | $9.95 | — |
| Longevity Health Plan | MCR | $10.38 | — |
| Molina Healthcare | HIX | $10.47 | — |
| Simply Healthcare | HIX | $10.81 | — |
| United | GlobalBenefitPlan | $14.72 | — |
| Prime Health Sheriff | WORKERSCOMP | $16.36 | — |
| Plotkin Health | COMM | $16.36 | — |
| Prime Health Sheriff | COMM | $16.36 | — |
| University MA Federal Corrections | GVT | $18.17 | — |
| NaphCare | PRISN | $18.17 | — |
| WellPath | GVT | $18.17 | — |
| Multiplan | Primary | $25.52 | — |
| PPO Next | PPO | $27.81 | — |
| PPO Next | COMM | $27.81 | — |
| NovaNet | COMM | $29.45 | — |
| CorVel Corporation | WORKERSCOMP | $105.32 | — |
| Prime Health | WC | $107.53 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $110.86 | — |
| Marion County Schools | WC | $110.86 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Susceptibility mic per plate at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $631.08 | $8.22 – $14.44 |
| Adventhealth Lake Wales | Lake Wales | $408.74 | $8.65 – $19.20 |
| Adventhealth Palm Coast Parkway | Palm Coast | $631.08 | $8.22 – $18.48 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $587.37 | $8.22 – $18.90 |
| Adventhealth Port Charlotte | Port Charlotte | $104.00 | $8.65 – $15.79 |
| cleveland clinic florida weston hospital | Weston | $69.55 | $3.63 – $29.00 |
| martin north hospital | Stuart | $104.65 | $4.23 – $16.50 |
| indian river hospital | Vero Beach | $69.55 | $4.02 – $74.40 |