Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
BLS/ NON EMERG BASE
SUMMERFIELD, FL
See all hospitals reporting HCPCS A0428 →Price type
Hca Florida Ocala Hospital’s median price of $306 is 21% below the median hospital's median price ($387), higher than 33% of the 770 hospitals reporting HCPCS A0428. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna mcr percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 2 | Blue Cross Blue Shield mcrppo percent of total billed charges · outpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 3 | Blue Cross Blue Shield mcrhmo percent of total billed charges · outpatientfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 4 | Blue Cross Blue Shield bsl percent of total billed charges · outpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 5 | Blue Cross Blue Shield mbn percent of total billed charges · outpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 6 | Blue Cross Blue Shield sbn percent of total billed charges · outpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 7 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 8 | Blue Cross Blue Shield nwb percent of total billed charges · outpatientfrom % of charges | $229 | $229 | — | — | — | $229 – $229 |
| 9 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $229 | $229 | — | — | — | $229 – $229 |
| 10 | Cigna nbn percent of total billed charges · outpatientfrom % of charges | $244 | $244 | — | — | — | $244 – $244 |
| 11 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $244 | $244 | — | — | — | $244 – $244 |
| 12 | Molina mgmcr percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 13 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $280 | $280 | — | — | — | $280 – $280 |
| 14 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $280 | $280 | — | — | — | $280 – $280 |
| 15 | Aetna qhp case rate · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 16 | Aetna qhp per diem · inpatient | $300 | $300 | — | — | — | $300 – $300 |
| 17 | Aetna hmo case rate · inpatient | $306 | $306 | — | — | — | $306 – $306 |
| 18 | Aetna hmo case rate · outpatient | $306 | $306 | — | — | — | $306 – $306 |
| 19 | Aetna ppo case rate · inpatient | $306 | $306 | — | — | — | $306 – $306 |
| 20 | Aetna ppo case rate · outpatient | $306 | $306 | — | — | — | $306 – $306 |
| 21 | Blue Cross Blue Shield phs percent of total billed charges · outpatientfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 22 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $421 | $421 | — | — | — | $421 – $421 |
| 23 | Molina hix percent of total billed charges · outpatientfrom % of charges | $449 | $449 | — | — | — | $449 – $449 |
| 24 | Cigna managedcarehmo percent of total billed charges · outpatientfrom % of charges | $583 | $583 | — | — | — | $583 – $583 |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $583 | $583 | — | — | — | $583 – $583 |
Last updated: Mar 1, 2026
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