Dch validity tests at HCA FLORIDA NORTHWEST HOSPITAL
2801 NORTH STATE ROAD 7, MARGATE, FL · HCA Florida Healthcare · · NPI 1063466563
$153.00
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.
$153.00
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.
$3.45 with HUMANA vs $130.05 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 | $3.45 | ↓ -98% |
| HUMANA | MGMCRHMO | $3.45 | ↓ -98% |
| Humana | TRICR | $3.46 | ↓ -98% |
| CarePlus SFL | MGMCR | $3.48 | ↓ -98% |
| Wellmed | MGMCR | $3.48 | ↓ -98% |
| Veterans Evaluation Services | MCR | $3.48 | ↓ -98% |
| NDMS Definitive Care | MGMCR | $3.48 | ↓ -98% |
| Devoted Health | MCR | $3.48 | ↓ -98% |
| United | AllPayerAppendix | $3.48 | ↓ -98% |
| United | GVT | $3.48 | ↓ -98% |
| United | MCR | $3.55 | ↓ -98% |
| BCBS | MCRPPO | $3.55 | ↓ -98% |
| BCBS | MCRHMO | $3.55 | ↓ -98% |
| Aetna | MCR | $3.58 | ↓ -98% |
| Prominence HealthFirst | MCRHMO | $3.65 | ↓ -98% |
| AvMed | MCR | $3.65 | ↓ -98% |
| Oscar | MCR | $3.65 | ↓ -98% |
| Sunshine State | MCR | $3.65 | ↓ -98% |
| American Health Plan | MCR | $3.69 | ↓ -98% |
| Align | MCR | $3.72 | ↓ -98% |
| Cigna HealthSpring | MGMCR | $3.72 | ↓ -98% |
| Florida Complete Care | MCR | $3.72 | ↓ -98% |
| Centurion | GVT | $3.83 | ↓ -97% |
| Doctors Healthcare Plan | MCR | $3.83 | ↓ -97% |
| Sunshine State | MCD | $3.83 | ↓ -97% |
| Gold Kidney | MCR | $3.90 | ↓ -97% |
| AmeriHealth Caritas | MGMCR | $4.18 | ↓ -97% |
| Longevity Health Plan | MCR | $4.18 | ↓ -97% |
| Simply Healthcare | HIX | $4.42 | ↓ -97% |
| Oscar | HIX | $4.91 | ↓ -97% |
| Solis Health Plan | MCR | $5.05 | ↓ -97% |
| AmeriHealth Caritas | HIX | $5.22 | ↓ -97% |
| Optimum | MGMCR | $13.16 | ↓ -91% |
| Freedom Health | MGMCR | $13.16 | ↓ -91% |
| AvMed | HIX | $19.89 | ↓ -87% |
| Simply Healthcare Plans | MGMCR | $19.89 | ↓ -87% |
| Freedom Health | MGMCD | $24.48 | ↓ -84% |
| Molina | MCR | $29.07 | ↓ -81% |
| Humana | HMO | $32.13 | ↓ -79% |
| AvMed | FullyInsured | $32.13 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $32.59 | ↓ -79% |
| MMM of FL (Health Advantage Plan) | MCR | $35.19 | ↓ -77% |
| United PPO | OptionsPPO | $36.26 | ↓ -76% |
| AvMed | ASOEO | $36.72 | ↓ -76% |
| CorVel Corporation | WORKERSCOMP | $39.05 | ↓ -74% |
| AvMed | Focus | $39.78 | ↓ -74% |
| AvMed | Select | $39.78 | ↓ -74% |
| AvMed | Empower | $39.78 | ↓ -74% |
| AvMed | Engage | $39.78 | ↓ -74% |
| AvMed | Flex | $39.78 | ↓ -74% |
| CareWorks (Rockport) | WORKERSCOMP | $39.88 | ↓ -74% |
| Prime Health | WORKERSCOMP | $39.88 | ↓ -74% |
| Sunshine State Health Plan | QHP | $40.39 | ↓ -74% |
| Molina | HIX | $41.31 | ↓ -73% |
| AvMed | MDCSelect | $42.84 | ↓ -72% |
| AvMed | JHSSelect | $42.84 | ↓ -72% |
| Aetna | ASA | $45.90 | ↓ -70% |
| Humana | PPO | $52.02 | ↓ -66% |
| BLIS | COMM | $53.55 | ↓ -65% |
| United | GlobalBenefitPlanAppendix | $68.85 | ↓ -55% |
| Prime Health Sherriff | COMM | $76.50 | ↓ -50% |
| Plotkin Health | COMM | $76.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $76.50 | ↓ -50% |
| Medica HealthCare | MCR | $88.74 | ↓ -42% |
| Multiplan | COMMPPOPRIMARYNETWORK | $114.75 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $130.05 | ↓ -15% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Dch validity tests at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $60.18 | $3.31 – $7.43 |
| Adventhealth Tampa | Tampa | $61.78 | $3.48 – $7.73 |
| Adventhealth Port Charlotte | Port Charlotte | $25.85 | $3.48 – $6.35 |
| cleveland clinic florida weston hospital | Weston | $25.35 | $1.43 – $31.45 |
| martin north hospital | Stuart | $51.35 | $1.50 – $18.50 |
| indian river hospital | Vero Beach | $25.35 | $1.43 – $29.60 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $4.90 | $3.06 – $8.70 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $8.20 | $3.48 – $12.76 |