Ot re-evaluation 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.
$51.34 with Optimum vs $507.45 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 |
|---|---|---|---|
| Optimum | MGMCR | $51.34 | — |
| Freedom Health | MGMCR | $51.34 | — |
| HUMANA | MGMCRPPO | $60.30 | — |
| HUMANA | MGMCRHMO | $60.30 | — |
| Veterans Evaluation Services | MCR | $60.91 | — |
| Devoted Health | MCR | $60.91 | — |
| United | GVT | $60.91 | — |
| CarePlus SFL | MGMCR | $60.91 | — |
| NDMS Definitive Care | MGMCR | $60.91 | — |
| Wellmed | MGMCR | $60.91 | — |
| United | MCR | $62.12 | — |
| BCBS | MCRPPO | $62.12 | — |
| BCBS | MCRHMO | $62.12 | — |
| Aetna | MCR | $62.73 | — |
| AvMed | MCR | $63.95 | — |
| Oscar | MCR | $63.95 | — |
| Sunshine State | MCR | $63.95 | — |
| Prominence HealthFirst | MCRHMO | $63.95 | — |
| American Health Plan | MCR | $64.56 | — |
| Align | MCR | $65.17 | — |
| Cigna HealthSpring | MGMCR | $65.17 | — |
| Florida Complete Care | MCR | $65.17 | — |
| Sunshine State | MCD | $67.00 | — |
| Doctors Healthcare Plan | MCR | $67.00 | — |
| Centurion | GVT | $67.00 | — |
| Humana | TRICR | $68.10 | — |
| Gold Kidney | MCR | $68.21 | — |
| CorVel Corporation | WORKERSCOMP | $68.40 | — |
| CareWorks (Rockport) | WORKERSCOMP | $69.84 | — |
| Prime Health | WORKERSCOMP | $69.84 | — |
| AmeriHealth Caritas | MGMCR | $73.09 | — |
| Longevity Health Plan | MCR | $73.09 | — |
| Simply Healthcare Plans | MGMCR | $77.61 | — |
| AvMed | HIX | $77.61 | — |
| Simply Healthcare | HIX | $80.59 | — |
| Solis Health Plan | MCR | $88.31 | — |
| Oscar | HIX | $95.52 | — |
| Freedom Health | MGMCD | $95.52 | — |
| AmeriHealth Caritas | HIX | $101.49 | — |
| Molina | MCR | $113.43 | — |
| Cigna | PPO | $125.37 | — |
| Humana | HMO | $125.37 | — |
| Cigna | HMO | $125.37 | — |
| AvMed | FullyInsured | $125.37 | — |
| Health Sun Health Plan | MGMCR | $127.16 | — |
| MMM of FL (Health Advantage Plan) | MCR | $137.31 | — |
| United PPO | OptionsPPO | $141.49 | — |
| AvMed | ASOEO | $143.28 | — |
| AvMed | Empower | $155.22 | — |
| AvMed | Flex | $155.22 | — |
| AvMed | Focus | $155.22 | — |
| AvMed | Select | $155.22 | — |
| AvMed | Engage | $155.22 | — |
| Sunshine State Health Plan | QHP | $157.61 | — |
| Molina | HIX | $161.19 | — |
| AvMed | MDCSelect | $167.16 | — |
| AvMed | JHSSelect | $167.16 | — |
| Aetna | ASA | $179.10 | — |
| Humana | PPO | $202.98 | — |
| BLIS | COMM | $208.95 | — |
| United | GlobalBenefitPlanAppendix | $268.65 | — |
| AvMed | JacksonFirstNetworkOON | $298.50 | — |
| Prime Health Sherriff | COMM | $298.50 | — |
| Plotkin Health | COMM | $298.50 | — |
| Medica HealthCare | MCR | $346.26 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $447.75 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $507.45 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $241.42 | $65.75 – $115.51 |
| Adventhealth Lake Wales | Lake Wales | $444.81 | $69.21 – $153.65 |
| Adventhealth Palm Coast Parkway | Palm Coast | $262.48 | not published |
| Adventhealth Tampa | Tampa | $367.84 | $69.21 – $153.65 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $235.00 | $65.75 – $151.19 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $677.00 | $47.20 – $70.80 |
| Adventhealth Port Charlotte | Port Charlotte | $333.59 | not published |
| cleveland clinic florida weston hospital | Weston | $311.35 | $44.12 – $407.15 |