Lead capillary 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.07 with Optimum vs $50.15 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Optimum | MGMCR | $5.07 | — |
| Freedom Health | MGMCR | $5.07 | — |
| AvMed | HIX | $7.67 | — |
| Simply Healthcare Plans | MGMCR | $7.67 | — |
| CorVel Corporation | WORKERSCOMP | $8.45 | — |
| CareWorks (Rockport) | WORKERSCOMP | $8.62 | — |
| Prime Health | WORKERSCOMP | $8.62 | — |
| Freedom Health | MGMCD | $9.44 | — |
| Molina | MCR | $11.21 | — |
| HUMANA | MGMCRPPO | $11.99 | — |
| HUMANA | MGMCRHMO | $11.99 | — |
| Humana | TRICR | $12.06 | — |
| Devoted Health | MCR | $12.11 | — |
| CarePlus SFL | MGMCR | $12.11 | — |
| Veterans Evaluation Services | MCR | $12.11 | — |
| Wellmed | MGMCR | $12.11 | — |
| NDMS Definitive Care | MGMCR | $12.11 | — |
| United | AllPayerAppendix | $12.11 | — |
| United | GVT | $12.11 | — |
| BCBS | MCRHMO | $12.35 | — |
| BCBS | MCRPPO | $12.35 | — |
| United | MCR | $12.35 | — |
| AvMed | FullyInsured | $12.39 | — |
| Humana | HMO | $12.39 | — |
| Aetna | MCR | $12.47 | — |
| Health Sun Health Plan | MGMCR | $12.57 | — |
| Oscar | MCR | $12.72 | — |
| Sunshine State | MCR | $12.72 | — |
| Prominence HealthFirst | MCRHMO | $12.72 | — |
| AvMed | MCR | $12.72 | — |
| American Health Plan | MCR | $12.84 | — |
| Florida Complete Care | MCR | $12.96 | — |
| Align | MCR | $12.96 | — |
| Cigna HealthSpring | MGMCR | $12.96 | — |
| Sunshine State | MCD | $13.32 | — |
| Centurion | GVT | $13.32 | — |
| Doctors Healthcare Plan | MCR | $13.32 | — |
| Gold Kidney | MCR | $13.56 | — |
| MMM of FL (Health Advantage Plan) | MCR | $13.57 | — |
| United PPO | OptionsPPO | $13.98 | — |
| AvMed | ASOEO | $14.16 | — |
| AmeriHealth Caritas | MGMCR | $14.53 | — |
| Longevity Health Plan | MCR | $14.53 | — |
| AvMed | Empower | $15.34 | — |
| AvMed | Select | $15.34 | — |
| AvMed | Engage | $15.34 | — |
| AvMed | Flex | $15.34 | — |
| AvMed | Focus | $15.34 | — |
| Simply Healthcare | HIX | $15.38 | — |
| Sunshine State Health Plan | QHP | $15.58 | — |
| Molina | HIX | $15.93 | — |
| AvMed | MDCSelect | $16.52 | — |
| AvMed | JHSSelect | $16.52 | — |
| Oscar | HIX | $17.08 | — |
| Solis Health Plan | MCR | $17.56 | — |
| Aetna | ASA | $17.70 | — |
| AmeriHealth Caritas | HIX | $18.16 | — |
| Humana | PPO | $20.06 | — |
| BLIS | COMM | $20.65 | — |
| United | GlobalBenefitPlanAppendix | $26.55 | — |
| Plotkin Health | COMM | $29.50 | — |
| Prime Health Sherriff | COMM | $29.50 | — |
| AvMed | JacksonFirstNetworkOON | $29.50 | — |
| Medica HealthCare | MCR | $34.22 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $44.25 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $50.15 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Lead capillary at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $70.10 | $11.50 – $20.21 |
| Adventhealth Lake Wales | Lake Wales | $84.11 | $12.11 – $26.88 |
| Adventhealth Palm Coast Parkway | Palm Coast | $70.10 | $11.50 – $25.87 |
| Adventhealth Tampa | Tampa | $186.92 | $12.11 – $26.88 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $40.25 | $11.50 – $26.45 |
| Adventhealth Port Charlotte | Port Charlotte | $89.86 | $12.11 – $22.11 |
| cleveland clinic florida weston hospital | Weston | $68.90 | $5.25 – $18.67 |
| martin north hospital | Stuart | $68.90 | $5.09 – $35.00 |