Aco annual medicare visit (awv), initial g0438aco at HCA FLORIDA NORTHWEST HOSPITAL
2801 NORTH STATE ROAD 7, MARGATE, FL · HCA Florida Healthcare · · NPI 1063466563
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.
$135.45 with Humana vs $261.00 with Solis Health Plan — 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 |
|---|---|---|---|
| Humana | TRICR | $135.45 | — |
| HUMANA | MGMCRHMO | $178.20 | — |
| HUMANA | MGMCRPPO | $178.20 | — |
| Devoted Health | MCR | $180.00 | — |
| United | GVT | $180.00 | — |
| CarePlus SFL | MGMCR | $180.00 | — |
| NDMS Definitive Care | MGMCR | $180.00 | — |
| Veterans Evaluation Services | MCR | $180.00 | — |
| Wellmed | MGMCR | $180.00 | — |
| BCBS | MCRPPO | $183.60 | — |
| United | MCR | $183.60 | — |
| BCBS | MCRHMO | $183.60 | — |
| Aetna | MCR | $185.40 | — |
| Sunshine State | MCR | $189.00 | — |
| Prominence HealthFirst | MCRHMO | $189.00 | — |
| AvMed | MCR | $189.00 | — |
| Oscar | MCR | $189.00 | — |
| American Health Plan | MCR | $190.80 | — |
| Cigna HealthSpring | MGMCR | $192.60 | — |
| Align | MCR | $192.60 | — |
| Florida Complete Care | MCR | $192.60 | — |
| Doctors Healthcare Plan | MCR | $198.00 | — |
| Sunshine State | MCD | $198.00 | — |
| Centurion | GVT | $198.00 | — |
| Gold Kidney | MCR | $201.60 | — |
| AmeriHealth Caritas | MGMCR | $216.00 | — |
| Longevity Health Plan | MCR | $216.00 | — |
| Solis Health Plan | MCR | $261.00 | — |
Visitor-reported prices
Comments
Aco annual medicare visit (awv), initial g0438aco at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $253.36 | $396.48 – $396.48 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $253.36 | $396.48 – $396.48 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $134.80 – $208.33 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $130.76 – $251.73 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $135.45 – $261.00 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $140.27 – $391.42 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $130.76 – $295.14 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | not published | $130.76 – $190.97 |