Established Patient Office Visit (level 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.
$47.89 with Aetna vs $589.90 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 |
|---|---|---|---|
| Aetna | MCR | $47.89 | — |
| BCBS | MCRHMO | $50.66 | — |
| Freedom Health | MGMCR | $59.68 | — |
| Optimum | MGMCR | $59.68 | — |
| BCBS | MBN | $69.40 | — |
| BCBS | SBN | $86.75 | — |
| BCBS | HMO | $86.75 | — |
| Simply Healthcare Plans | MGMCR | $90.22 | — |
| Simply Healthcare | HIX | $93.83 | — |
| Aetna | QHP | $96.47 | — |
| Freedom Health | MGMCD | $111.04 | — |
| Oscar | HIX | $111.20 | — |
| BCBS | PPO | $113.12 | — |
| BCBS | NWB | $113.12 | — |
| Aetna | HMO | $117.29 | — |
| AmeriHealth Caritas | HIX | $118.15 | — |
| CorVel Corporation | WORKERSCOMP | $123.50 | — |
| CareWorks (Rockport) | WORKERSCOMP | $126.10 | — |
| Prime Health | WORKERSCOMP | $126.10 | — |
| Molina | MCR | $131.86 | — |
| Aetna | PPO | $135.33 | — |
| Humana | HMO | $145.74 | — |
| Cigna | HMO | $145.74 | — |
| Cigna | PPO | $145.74 | — |
| Health Sun Health Plan | MGMCR | $147.82 | — |
| BCBS | PHS | $156.84 | — |
| BCBS | BSLNON-PAR | $156.84 | — |
| MMM of FL (Health Advantage Plan) | MCR | $159.62 | — |
| United PPO | OptionsPPO | $164.48 | — |
| Sunshine State Health Plan | QHP | $183.22 | — |
| Molina | HIX | $187.38 | — |
| Aetna | ASA | $208.20 | — |
| Humana | PPO | $235.96 | — |
| BLIS | COMM | $242.90 | — |
| United | GlobalBenefitPlanAppendix | $312.30 | — |
| Plotkin Health | COMM | $347.00 | — |
| Prime Health Sherriff | COMM | $347.00 | — |
| AvMed | JacksonFirstNetworkOON | $347.50 | — |
| Medica HealthCare | MCR | $402.52 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $520.50 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $589.90 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $486.05 | not published |
| Adventhealth Lake Wales | Lake Wales | $828.10 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,062.55 | not published |
| Adventhealth Tampa | Tampa | $951.11 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $637.55 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $1,107.88 | not published |
| cleveland clinic florida weston hospital | Weston | $728.00 | $50.40 – $560.00 |
| martin north hospital | Stuart | $728.00 | $62.40 – $225.00 |