Ghs phenylketonurid at HCA FLORIDA NORTHWEST HOSPITAL
2801 NORTH STATE ROAD 7, MARGATE, FL · HCA Florida Healthcare · · NPI 1063466563
$422.00
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.
$422.00
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.
$5.45 with HUMANA vs $358.70 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 | $5.45 | ↓ -99% |
| HUMANA | MGMCRHMO | $5.45 | ↓ -99% |
| Humana | TRICR | $5.48 | ↓ -99% |
| CarePlus SFL | MGMCR | $5.50 | ↓ -99% |
| Wellmed | MGMCR | $5.50 | ↓ -99% |
| Veterans Evaluation Services | MCR | $5.50 | ↓ -99% |
| NDMS Definitive Care | MGMCR | $5.50 | ↓ -99% |
| Devoted Health | MCR | $5.50 | ↓ -99% |
| United | AllPayerAppendix | $5.50 | ↓ -99% |
| United | GVT | $5.50 | ↓ -99% |
| United | MCR | $5.61 | ↓ -99% |
| BCBS | MCRPPO | $5.61 | ↓ -99% |
| BCBS | MCRHMO | $5.61 | ↓ -99% |
| Aetna | MCR | $5.67 | ↓ -99% |
| Prominence HealthFirst | MCRHMO | $5.78 | ↓ -99% |
| AvMed | MCR | $5.78 | ↓ -99% |
| Oscar | MCR | $5.78 | ↓ -99% |
| Sunshine State | MCR | $5.78 | ↓ -99% |
| American Health Plan | MCR | $5.83 | ↓ -99% |
| Align | MCR | $5.89 | ↓ -99% |
| Cigna HealthSpring | MGMCR | $5.89 | ↓ -99% |
| Florida Complete Care | MCR | $5.89 | ↓ -99% |
| Centurion | GVT | $6.05 | ↓ -99% |
| Doctors Healthcare Plan | MCR | $6.05 | ↓ -99% |
| Sunshine State | MCD | $6.05 | ↓ -99% |
| Gold Kidney | MCR | $6.16 | ↓ -99% |
| AmeriHealth Caritas | MGMCR | $6.60 | ↓ -98% |
| Longevity Health Plan | MCR | $6.60 | ↓ -98% |
| Simply Healthcare | HIX | $6.99 | ↓ -98% |
| Oscar | HIX | $7.75 | ↓ -98% |
| Solis Health Plan | MCR | $7.97 | ↓ -98% |
| AmeriHealth Caritas | HIX | $8.25 | ↓ -98% |
| Freedom Health | MGMCR | $36.29 | ↓ -91% |
| Optimum | MGMCR | $36.29 | ↓ -91% |
| Simply Healthcare Plans | MGMCR | $54.86 | ↓ -87% |
| AvMed | HIX | $54.86 | ↓ -87% |
| Freedom Health | MGMCD | $67.52 | ↓ -84% |
| Molina | MCR | $80.18 | ↓ -81% |
| CorVel Corporation | WORKERSCOMP | $81.27 | ↓ -81% |
| CareWorks (Rockport) | WORKERSCOMP | $82.98 | ↓ -80% |
| Prime Health | WORKERSCOMP | $82.98 | ↓ -80% |
| Humana | HMO | $88.62 | ↓ -79% |
| AvMed | FullyInsured | $88.62 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $89.89 | ↓ -79% |
| MMM of FL (Health Advantage Plan) | MCR | $97.06 | ↓ -77% |
| United PPO | OptionsPPO | $100.01 | ↓ -76% |
| AvMed | ASOEO | $101.28 | ↓ -76% |
| AvMed | Select | $109.72 | ↓ -74% |
| AvMed | Empower | $109.72 | ↓ -74% |
| AvMed | Focus | $109.72 | ↓ -74% |
| AvMed | Engage | $109.72 | ↓ -74% |
| AvMed | Flex | $109.72 | ↓ -74% |
| Sunshine State Health Plan | QHP | $111.41 | ↓ -74% |
| Molina | HIX | $113.94 | ↓ -73% |
| AvMed | MDCSelect | $118.16 | ↓ -72% |
| AvMed | JHSSelect | $118.16 | ↓ -72% |
| Aetna | ASA | $126.60 | ↓ -70% |
| Humana | PPO | $143.48 | ↓ -66% |
| BLIS | COMM | $147.70 | ↓ -65% |
| United | GlobalBenefitPlanAppendix | $189.90 | ↓ -55% |
| Prime Health Sherriff | COMM | $211.00 | ↓ -50% |
| Plotkin Health | COMM | $211.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $211.00 | ↓ -50% |
| Medica HealthCare | MCR | $244.76 | ↓ -42% |
| Multiplan | COMMPPOPRIMARYNETWORK | $316.50 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $358.70 | ↓ -15% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Ghs phenylketonurid at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $23.29 | $5.22 – $9.18 |
| Adventhealth Tampa | Tampa | $82.09 | $5.50 – $12.21 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $26.00 | $4.40 – $75.49 |
| Adventhealth Port Charlotte | Port Charlotte | $19.25 | $5.50 – $10.04 |
| cleveland clinic florida weston hospital | Weston | $92.95 | $2.59 – $121.55 |
| martin north hospital | Stuart | $183.30 | $2.73 – $107.25 |
| indian river hospital | Vero Beach | $8.45 | $2.59 – $10.40 |
| Boca Raton Regional Hospital | BOCA RATON | $18.20 | $5.50 – $18.28 |