Immunology procedure 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.
$11.59 with Aetna vs $142.80 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 | $11.59 | — |
| BCBS | MCRHMO | $12.26 | — |
| Optimum | MGMCR | $14.45 | — |
| Freedom Health | MGMCR | $14.45 | — |
| AvMed | HIX | $21.84 | — |
| Simply Healthcare Plans | MGMCR | $21.84 | — |
| Simply Healthcare | HIX | $22.68 | — |
| Freedom Health | MGMCD | $26.88 | — |
| Oscar | HIX | $26.88 | — |
| AmeriHealth Caritas | HIX | $28.56 | — |
| Molina | MCR | $31.92 | — |
| Humana | HMO | $35.28 | — |
| AvMed | FullyInsured | $35.28 | — |
| Health Sun Health Plan | MGMCR | $35.78 | — |
| MMM of FL (Health Advantage Plan) | MCR | $38.64 | — |
| United PPO | OptionsPPO | $39.82 | — |
| AvMed | ASOEO | $40.32 | — |
| AvMed | Engage | $43.68 | — |
| AvMed | Focus | $43.68 | — |
| AvMed | Flex | $43.68 | — |
| AvMed | Select | $43.68 | — |
| AvMed | Empower | $43.68 | — |
| Sunshine State Health Plan | QHP | $44.35 | — |
| Molina | HIX | $45.36 | — |
| AvMed | JHSSelect | $47.04 | — |
| AvMed | MDCSelect | $47.04 | — |
| Aetna | ASA | $50.40 | — |
| Humana | PPO | $57.12 | — |
| BLIS | COMM | $58.80 | — |
| CorVel Corporation | WORKERSCOMP | $64.39 | — |
| CareWorks (Rockport) | WORKERSCOMP | $65.75 | — |
| Prime Health | WORKERSCOMP | $65.75 | — |
| United | GlobalBenefitPlanAppendix | $75.60 | — |
| Prime Health Sherriff | COMM | $84.00 | — |
| AvMed | JacksonFirstNetworkOON | $84.00 | — |
| Plotkin Health | COMM | $84.00 | — |
| Medica HealthCare | MCR | $97.44 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $126.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $142.80 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Immunology procedure at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $172.84 | not published |
| Adventhealth Tampa | Tampa | $300.98 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $164.61 | not published |
| cleveland clinic florida weston hospital | Weston | $204.10 | $5.23 – $266.90 |
| martin north hospital | Stuart | $185.25 | $5.50 – $213.75 |
| indian river hospital | Vero Beach | $204.10 | $5.23 – $251.20 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK | $43.25 | $55.12 – $58.02 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | $271.00 | $63.86 – $65.20 |