Chromosome analysis 5 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.
$93.22 with Freedom Health vs $921.40 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $93.22 | — |
| Optimum | MGMCR | $93.22 | — |
| AvMed | HIX | $140.92 | — |
| Simply Healthcare Plans | MGMCR | $140.92 | — |
| Freedom Health | MGMCD | $173.44 | — |
| Molina | MCR | $205.96 | — |
| AvMed | FullyInsured | $227.64 | — |
| Humana | HMO | $227.64 | — |
| Health Sun Health Plan | MGMCR | $230.89 | — |
| MMM of FL (Health Advantage Plan) | MCR | $249.32 | — |
| United PPO | OptionsPPO | $256.91 | — |
| AvMed | ASOEO | $260.16 | — |
| HUMANA | MGMCRPPO | $261.70 | — |
| HUMANA | MGMCRHMO | $261.70 | — |
| Humana | TRICR | $263.18 | — |
| United | GVT | $264.34 | — |
| CarePlus SFL | MGMCR | $264.34 | — |
| Wellmed | MGMCR | $264.34 | — |
| Devoted Health | MCR | $264.34 | — |
| United | AllPayerAppendix | $264.34 | — |
| NDMS Definitive Care | MGMCR | $264.34 | — |
| Veterans Evaluation Services | MCR | $264.34 | — |
| BCBS | MCRPPO | $269.63 | — |
| United | MCR | $269.63 | — |
| BCBS | MCRHMO | $269.63 | — |
| Aetna | MCR | $272.27 | — |
| Prominence HealthFirst | MCRHMO | $277.56 | — |
| Sunshine State | MCR | $277.56 | — |
| Oscar | MCR | $277.56 | — |
| AvMed | MCR | $277.56 | — |
| American Health Plan | MCR | $280.20 | — |
| AvMed | Engage | $281.84 | — |
| AvMed | Select | $281.84 | — |
| AvMed | Empower | $281.84 | — |
| AvMed | Flex | $281.84 | — |
| AvMed | Focus | $281.84 | — |
| Florida Complete Care | MCR | $282.84 | — |
| Cigna HealthSpring | MGMCR | $282.84 | — |
| Align | MCR | $282.84 | — |
| Sunshine State Health Plan | QHP | $286.18 | — |
| Centurion | GVT | $290.77 | — |
| Doctors Healthcare Plan | MCR | $290.77 | — |
| Sunshine State | MCD | $290.77 | — |
| Molina | HIX | $292.68 | — |
| Gold Kidney | MCR | $296.06 | — |
| AvMed | MDCSelect | $303.52 | — |
| AvMed | JHSSelect | $303.52 | — |
| AmeriHealth Caritas | MGMCR | $317.21 | — |
| Longevity Health Plan | MCR | $317.21 | — |
| Aetna | ASA | $325.20 | — |
| Simply Healthcare | HIX | $335.71 | — |
| Humana | PPO | $368.56 | — |
| Oscar | HIX | $372.72 | — |
| BLIS | COMM | $379.40 | — |
| Solis Health Plan | MCR | $383.29 | — |
| AmeriHealth Caritas | HIX | $396.51 | — |
| United | GlobalBenefitPlanAppendix | $487.80 | — |
| AvMed | JacksonFirstNetworkOON | $542.00 | — |
| Prime Health Sherriff | COMM | $542.00 | — |
| Plotkin Health | COMM | $542.00 | — |
| Medica HealthCare | MCR | $628.72 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $813.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $921.40 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Chromosome analysis 5 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $1,765.22 | $264.34 – $482.68 |
| cleveland clinic florida weston hospital | Weston | $1,113.45 | $76.88 – $337.00 |
| martin north hospital | Stuart | $1,113.45 | $80.93 – $337.00 |
| indian river hospital | Vero Beach | $1,113.45 | $76.88 – $1,370.40 |
| Baptist Hospital | MIAMI | $379.60 | $15.12 – $301.50 |
| Bethesda Hospital East | BOYNTON BEACH | $379.60 | $67.34 – $301.50 |
| Boca Raton Regional Hospital | BOCA RATON | $307.45 | $128.52 – $280.36 |
| Doctors Hospital | CORAL GABLES | $379.60 | $58.63 – $301.50 |