Ghs ot dds rom 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.
$17.10 with CorVel Corporation vs $1,334.50 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $17.10 | — |
| Prime Health | WORKERSCOMP | $17.46 | — |
| CareWorks (Rockport) | WORKERSCOMP | $17.46 | — |
| Humana | TRICR | $23.11 | — |
| HUMANA | MGMCRHMO | $26.32 | — |
| HUMANA | MGMCRPPO | $26.32 | — |
| Wellmed | MGMCR | $26.59 | — |
| CarePlus SFL | MGMCR | $26.59 | — |
| NDMS Definitive Care | MGMCR | $26.59 | — |
| United | GVT | $26.59 | — |
| Veterans Evaluation Services | MCR | $26.59 | — |
| Devoted Health | MCR | $26.59 | — |
| BCBS | MCRHMO | $27.12 | — |
| United | MCR | $27.12 | — |
| BCBS | MCRPPO | $27.12 | — |
| Aetna | MCR | $27.39 | — |
| Prominence HealthFirst | MCRHMO | $27.92 | — |
| Oscar | MCR | $27.92 | — |
| Sunshine State | MCR | $27.92 | — |
| AvMed | MCR | $27.92 | — |
| American Health Plan | MCR | $28.19 | — |
| Cigna HealthSpring | MGMCR | $28.45 | — |
| Align | MCR | $28.45 | — |
| Florida Complete Care | MCR | $28.45 | — |
| Centurion | GVT | $29.25 | — |
| Doctors Healthcare Plan | MCR | $29.25 | — |
| Sunshine State | MCD | $29.25 | — |
| Gold Kidney | MCR | $29.78 | — |
| AmeriHealth Caritas | MGMCR | $31.91 | — |
| Longevity Health Plan | MCR | $31.91 | — |
| Solis Health Plan | MCR | $38.56 | — |
| Optimum | MGMCR | $135.02 | — |
| Freedom Health | MGMCR | $135.02 | — |
| AvMed | HIX | $204.10 | — |
| Simply Healthcare Plans | MGMCR | $204.10 | — |
| Simply Healthcare | HIX | $211.95 | — |
| Aetna | QHP | $218.23 | — |
| Freedom Health | MGMCD | $251.20 | — |
| Oscar | HIX | $251.20 | — |
| Aetna | HMO | $265.33 | — |
| AmeriHealth Caritas | HIX | $266.90 | — |
| Molina | MCR | $298.30 | — |
| Aetna | PPO | $306.15 | — |
| Cigna | PPO | $329.70 | — |
| Humana | HMO | $329.70 | — |
| Cigna | HMO | $329.70 | — |
| AvMed | FullyInsured | $329.70 | — |
| Health Sun Health Plan | MGMCR | $334.41 | — |
| MMM of FL (Health Advantage Plan) | MCR | $361.10 | — |
| United PPO | OptionsPPO | $372.09 | — |
| AvMed | ASOEO | $376.80 | — |
| AvMed | Engage | $408.20 | — |
| AvMed | Empower | $408.20 | — |
| AvMed | Select | $408.20 | — |
| AvMed | Focus | $408.20 | — |
| AvMed | Flex | $408.20 | — |
| Sunshine State Health Plan | QHP | $414.48 | — |
| Molina | HIX | $423.90 | — |
| AvMed | MDCSelect | $439.60 | — |
| AvMed | JHSSelect | $439.60 | — |
| Aetna | ASA | $471.00 | — |
| Humana | PPO | $533.80 | — |
| BLIS | COMM | $549.50 | — |
| United | GlobalBenefitPlanAppendix | $706.50 | — |
| Prime Health Sherriff | COMM | $785.00 | — |
| Plotkin Health | COMM | $785.00 | — |
| AvMed | JacksonFirstNetworkOON | $785.00 | — |
| Medica HealthCare | MCR | $910.60 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,177.50 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,334.50 | — |
Visitor-reported prices
Comments
Ghs ot dds rom at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $98.63 | $6.46 – $11.35 |
| Adventhealth Port Charlotte | Port Charlotte | $363.95 | not published |
| martin north hospital | Stuart | $54.60 | $5.72 – $48.00 |
| indian river hospital | Vero Beach | $41.60 | $3.93 – $54.40 |
| Baptist Hospital | MIAMI | $161.20 | $27.40 – $223.20 |
| Bethesda Hospital East | BOYNTON BEACH | $161.20 | $26.59 – $223.20 |
| Doctors Hospital | CORAL GABLES | $161.20 | $27.40 – $223.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $161.20 | $27.40 – $223.20 |