C1 esterase inhibitor func - sendout 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.
$11.88 with HUMANA vs $131.75 with Multiplan — 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 | MGMCRPPO | $11.88 | — |
| HUMANA | MGMCRHMO | $11.88 | — |
| Humana | TRICR | $11.95 | — |
| United | GVT | $12.00 | — |
| United | AllPayerAppendix | $12.00 | — |
| Devoted Health | MCR | $12.00 | — |
| NDMS Definitive Care | MGMCR | $12.00 | — |
| CarePlus SFL | MGMCR | $12.00 | — |
| Wellmed | MGMCR | $12.00 | — |
| Veterans Evaluation Services | MCR | $12.00 | — |
| BCBS | MCRHMO | $12.24 | — |
| United | MCR | $12.24 | — |
| BCBS | MCRPPO | $12.24 | — |
| Aetna | MCR | $12.36 | — |
| Sunshine State | MCR | $12.60 | — |
| Prominence HealthFirst | MCRHMO | $12.60 | — |
| Oscar | MCR | $12.60 | — |
| AvMed | MCR | $12.60 | — |
| American Health Plan | MCR | $12.72 | — |
| Cigna HealthSpring | MGMCR | $12.84 | — |
| Align | MCR | $12.84 | — |
| Florida Complete Care | MCR | $12.84 | — |
| Sunshine State | MCD | $13.20 | — |
| Doctors Healthcare Plan | MCR | $13.20 | — |
| Centurion | GVT | $13.20 | — |
| Freedom Health | MGMCR | $13.33 | — |
| Optimum | MGMCR | $13.33 | — |
| Gold Kidney | MCR | $13.44 | — |
| Longevity Health Plan | MCR | $14.40 | — |
| AmeriHealth Caritas | MGMCR | $14.40 | — |
| Simply Healthcare | HIX | $15.24 | — |
| Oscar | HIX | $16.92 | — |
| Solis Health Plan | MCR | $17.40 | — |
| AmeriHealth Caritas | HIX | $18.00 | — |
| AvMed | HIX | $20.15 | — |
| Simply Healthcare Plans | MGMCR | $20.15 | — |
| Freedom Health | MGMCD | $24.80 | — |
| Molina | MCR | $29.45 | — |
| Humana | HMO | $32.55 | — |
| AvMed | FullyInsured | $32.55 | — |
| Health Sun Health Plan | MGMCR | $33.02 | — |
| MMM of FL (Health Advantage Plan) | MCR | $35.65 | — |
| United PPO | OptionsPPO | $36.73 | — |
| AvMed | ASOEO | $37.20 | — |
| AvMed | Focus | $40.30 | — |
| AvMed | Select | $40.30 | — |
| AvMed | Flex | $40.30 | — |
| AvMed | Empower | $40.30 | — |
| AvMed | Engage | $40.30 | — |
| Sunshine State Health Plan | QHP | $40.92 | — |
| Molina | HIX | $41.85 | — |
| AvMed | JHSSelect | $43.40 | — |
| AvMed | MDCSelect | $43.40 | — |
| Aetna | ASA | $46.50 | — |
| Humana | PPO | $52.70 | — |
| BLIS | COMM | $54.25 | — |
| CorVel Corporation | WORKERSCOMP | $55.95 | — |
| Prime Health | WORKERSCOMP | $57.12 | — |
| CareWorks (Rockport) | WORKERSCOMP | $57.12 | — |
| United | GlobalBenefitPlanAppendix | $69.75 | — |
| Plotkin Health | COMM | $77.50 | — |
| Prime Health Sherriff | COMM | $77.50 | — |
| AvMed | JacksonFirstNetworkOON | $77.50 | — |
| Medica HealthCare | MCR | $89.90 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $116.25 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $131.75 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
C1 esterase inhibitor func - sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $43.47 | $11.40 – $20.03 |
| Adventhealth Lake Wales | Lake Wales | $41.67 | $12.00 – $26.64 |
| Adventhealth Palm Coast Parkway | Palm Coast | $22.46 | $11.40 – $25.63 |
| Adventhealth Tampa | Tampa | $61.03 | $12.00 – $26.64 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $181.09 | $11.40 – $26.21 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $97.00 | $9.60 – $51.96 |
| Adventhealth Port Charlotte | Port Charlotte | $88.63 | $12.00 – $21.91 |
| cleveland clinic florida weston hospital | Weston | $421.20 | $5.23 – $45.05 |