Venogram ext bil s&i 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.
$605.12 with AvMed vs $4,538.41 with NovaNet — 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 | $605.12 | — |
| Simply | MGMCR | $776.57 | — |
| United | OptionsPPO | $877.43 | — |
| Molina Healthcare | MGMCR | $958.11 | — |
| Humana | PPO | $1,008.54 | — |
| Humana | HMO | $1,008.54 | — |
| Evolutions | TieredNetwork | $1,159.82 | — |
| Evolutions Healthcare | COMM | $1,159.82 | — |
| AvMed | HMOFI | $1,210.24 | — |
| Sunshine State Health Plan | QHP | $1,285.88 | — |
| AvMed | ASOEO | $1,411.95 | — |
| Aetna | ASA | $1,512.80 | — |
| Molina Healthcare | HIX | $1,613.66 | — |
| CorVel Corporation | WORKERSCOMP | $2,128.32 | — |
| Prime Health | WC | $2,173.13 | — |
| Marion County Schools | WC | $2,240.34 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $2,240.34 | — |
| United | GlobalBenefitPlan | $2,269.21 | — |
| Prime Health Sheriff | COMM | $2,521.34 | — |
| Plotkin Health | COMM | $2,521.34 | — |
| Prime Health Sheriff | WORKERSCOMP | $2,521.34 | — |
| United | AllPayerAppendix | $3,163.82 | — |
| Multiplan | Primary | $3,933.29 | — |
| PPO Next | PPO | $4,286.28 | — |
| PPO Next | COMM | $4,286.28 | — |
| NovaNet | COMM | $4,538.41 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Venogram ext bil s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $3,152.67 | $1,215.77 – $2,743.60 |
| Adventhealth Lake Wales | Lake Wales | $6,544.92 | $1,000.40 – $3,649.36 |
| Adventhealth Palm Coast Parkway | Palm Coast | $3,709.00 | $1,097.66 – $3,511.11 |
| Adventhealth Tampa | Tampa | $6,080.06 | $986.51 – $3,649.36 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,956.07 | $1,561.66 – $3,591.00 |
| Adventhealth Port Charlotte | Port Charlotte | $9,748.91 | $1,030.97 – $3,001.68 |
| cleveland clinic florida weston hospital | Weston | $9,094.15 | $44.17 – $11,389.15 |
| martin north hospital | Stuart | $9,094.15 | $39.52 – $6,699.50 |