X-ray exam of eye sockets 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.
$38.21 with AvMed vs $443.44 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 | $38.21 | — |
| Simply | MGMCR | $49.03 | — |
| United | OptionsPPO | $55.40 | — |
| Molina Healthcare | MGMCR | $60.49 | — |
| Humana | PPO | $63.68 | — |
| Humana | HMO | $63.68 | — |
| Evolutions | TieredNetwork | $73.23 | — |
| Evolutions Healthcare | COMM | $73.23 | — |
| AvMed | HMOFI | $76.41 | — |
| Sunshine State Health Plan | QHP | $81.19 | — |
| AvMed | ASOEO | $89.15 | — |
| Aetna | ASA | $95.51 | — |
| Molina Healthcare | HIX | $101.88 | — |
| United | GlobalBenefitPlan | $143.27 | — |
| Plotkin Health | COMM | $159.19 | — |
| Prime Health Sheriff | WORKERSCOMP | $159.19 | — |
| Prime Health Sheriff | COMM | $159.19 | — |
| United | AllPayerAppendix | $245.18 | — |
| Multiplan | Primary | $248.34 | — |
| PPO Next | PPO | $270.62 | — |
| PPO Next | COMM | $270.62 | — |
| NovaNet | COMM | $286.54 | — |
| CorVel Corporation | WORKERSCOMP | $421.27 | — |
| Prime Health | WC | $430.14 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $443.44 | — |
| Marion County Schools | WC | $443.44 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of eye sockets at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,180.07 | $94.39 – $182.21 |
| Adventhealth Lake Wales | Lake Wales | $860.60 | $77.67 – $242.37 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,295.84 | $85.22 – $286.15 |
| Adventhealth Tampa | Tampa | $1,956.71 | $76.59 – $242.37 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $650.50 | $103.72 – $238.49 |
| Adventhealth Port Charlotte | Port Charlotte | $1,845.35 | $80.04 – $199.35 |
| cleveland clinic florida weston hospital | Weston | $669.50 | $11.51 – $780.30 |
| martin north hospital | Stuart | $669.50 | $10.30 – $459.00 |