Ot evaluation high complexity patient/family 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.
$88.37 with HUMANA vs $1,082.90 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 |
|---|---|---|---|
| HUMANA | MGMCRPPO | $88.37 | — |
| HUMANA | MGMCRHMO | $88.37 | — |
| Wellmed | MGMCR | $89.27 | — |
| CarePlus SFL | MGMCR | $89.27 | — |
| NDMS Definitive Care | MGMCR | $89.27 | — |
| Devoted Health | MCR | $89.27 | — |
| United | GVT | $89.27 | — |
| Veterans Evaluation Services | MCR | $89.27 | — |
| BCBS | MCRHMO | $91.05 | — |
| BCBS | MCRPPO | $91.05 | — |
| United | MCR | $91.05 | — |
| Aetna | MCR | $91.95 | — |
| AvMed | MCR | $93.73 | — |
| Oscar | MCR | $93.73 | — |
| Sunshine State | MCR | $93.73 | — |
| Prominence HealthFirst | MCRHMO | $93.73 | — |
| American Health Plan | MCR | $94.62 | — |
| Florida Complete Care | MCR | $95.52 | — |
| Cigna HealthSpring | MGMCR | $95.52 | — |
| Align | MCR | $95.52 | — |
| Centurion | GVT | $98.19 | — |
| Doctors Healthcare Plan | MCR | $98.19 | — |
| Sunshine State | MCD | $98.19 | — |
| Humana | TRICR | $98.45 | — |
| CorVel Corporation | WORKERSCOMP | $98.80 | — |
| Gold Kidney | MCR | $99.98 | — |
| CareWorks (Rockport) | WORKERSCOMP | $100.88 | — |
| Prime Health | WORKERSCOMP | $100.88 | — |
| Longevity Health Plan | MCR | $107.12 | — |
| AmeriHealth Caritas | MGMCR | $107.12 | — |
| Optimum | MGMCR | $109.56 | — |
| Freedom Health | MGMCR | $109.56 | — |
| Solis Health Plan | MCR | $129.44 | — |
| Simply Healthcare Plans | MGMCR | $165.62 | — |
| AvMed | HIX | $165.62 | — |
| Simply Healthcare | HIX | $171.99 | — |
| Oscar | HIX | $203.84 | — |
| Freedom Health | MGMCD | $203.84 | — |
| AmeriHealth Caritas | HIX | $216.58 | — |
| Molina | MCR | $242.06 | — |
| Cigna | PPO | $267.54 | — |
| Humana | HMO | $267.54 | — |
| Cigna | HMO | $267.54 | — |
| AvMed | FullyInsured | $267.54 | — |
| Health Sun Health Plan | MGMCR | $271.36 | — |
| MMM of FL (Health Advantage Plan) | MCR | $293.02 | — |
| United PPO | OptionsPPO | $301.94 | — |
| AvMed | ASOEO | $305.76 | — |
| AvMed | Empower | $331.24 | — |
| AvMed | Flex | $331.24 | — |
| AvMed | Focus | $331.24 | — |
| AvMed | Select | $331.24 | — |
| AvMed | Engage | $331.24 | — |
| Sunshine State Health Plan | QHP | $336.34 | — |
| Molina | HIX | $343.98 | — |
| AvMed | MDCSelect | $356.72 | — |
| AvMed | JHSSelect | $356.72 | — |
| Aetna | ASA | $382.20 | — |
| Humana | PPO | $433.16 | — |
| BLIS | COMM | $445.90 | — |
| United | GlobalBenefitPlanAppendix | $573.30 | — |
| AvMed | JacksonFirstNetworkOON | $637.00 | — |
| Prime Health Sherriff | COMM | $637.00 | — |
| Plotkin Health | COMM | $637.00 | — |
| Medica HealthCare | MCR | $738.92 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $955.50 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,082.90 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $369.90 | $93.63 – $164.50 |
| Adventhealth Lake Wales | Lake Wales | $758.39 | $98.56 – $218.80 |
| Adventhealth Palm Coast Parkway | Palm Coast | $474.36 | not published |
| Adventhealth Tampa | Tampa | $846.31 | $98.56 – $218.80 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $562.30 | $93.63 – $215.30 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,109.00 | $69.39 – $104.08 |
| Adventhealth Port Charlotte | Port Charlotte | $906.00 | not published |
| cleveland clinic florida weston hospital | Weston | $547.95 | $66.98 – $716.55 |