CMS Price Transparency Data

Review of medical records for care

Facility: HCA Florida Orange Park Hospital

Billing Code: 90889 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90889
Insurance Median: $102
Cash Discount Price: $389
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Review of medical records for care at HCA Florida Orange Park Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $389. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

$389

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$21 - $94	N/A
Optimum Healthcare	$33	N/A
Avmed	$47 - $109	N/A
United	$47 - $175	N/A
Simply Healthcare	$49 - $60	N/A
Oscar	$62	N/A
Aetna	$67 - $117	N/A
Positive Healthcare	$86	N/A
Cigna	$93 - $110	N/A
Sunshine State Health Plan	$99	N/A
Molina Healthcare	$105	N/A
Humana	$160	N/A
Medicare (plans)	$175	N/A
Plotkin Health	$195	N/A
Corvel Corporation	$225	N/A
Prime Health	$229	N/A
Multiplan	$304 - $331	N/A
Evernorth	$311	N/A
Evolutions Healthcare	$311 - $331	N/A
Ppo Next	$331	N/A
Novanet	$350	N/A
United Behavioral Health	$389	N/A
American Health Plan	$15,000	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $389.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90889.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Orange Park Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90889.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.