Ot training self care/home management direct contact each 15 minutes 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.
$28.65 with HUMANA vs $586.50 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 | $28.65 | — |
| HUMANA | MGMCRHMO | $28.65 | — |
| Wellmed | MGMCR | $28.94 | — |
| CarePlus SFL | MGMCR | $28.94 | — |
| NDMS Definitive Care | MGMCR | $28.94 | — |
| Devoted Health | MCR | $28.94 | — |
| United | GVT | $28.94 | — |
| Veterans Evaluation Services | MCR | $28.94 | — |
| BCBS | MCRHMO | $29.52 | — |
| BCBS | MCRPPO | $29.52 | — |
| United | MCR | $29.52 | — |
| Aetna | MCR | $29.81 | — |
| AvMed | MCR | $30.39 | — |
| Oscar | MCR | $30.39 | — |
| Sunshine State | MCR | $30.39 | — |
| Prominence HealthFirst | MCRHMO | $30.39 | — |
| American Health Plan | MCR | $30.68 | — |
| Align | MCR | $30.97 | — |
| Florida Complete Care | MCR | $30.97 | — |
| Cigna HealthSpring | MGMCR | $30.97 | — |
| Humana | TRICR | $31.26 | — |
| Centurion | GVT | $31.84 | — |
| Sunshine State | MCD | $31.84 | — |
| Doctors Healthcare Plan | MCR | $31.84 | — |
| Gold Kidney | MCR | $32.42 | — |
| AmeriHealth Caritas | MGMCR | $34.73 | — |
| Longevity Health Plan | MCR | $34.73 | — |
| CorVel Corporation | WORKERSCOMP | $37.05 | — |
| CareWorks (Rockport) | WORKERSCOMP | $37.83 | — |
| Prime Health | WORKERSCOMP | $37.83 | — |
| Solis Health Plan | MCR | $41.97 | — |
| Optimum | MGMCR | $59.34 | — |
| Freedom Health | MGMCR | $59.34 | — |
| Simply Healthcare Plans | MGMCR | $89.70 | — |
| AvMed | HIX | $89.70 | — |
| Simply Healthcare | HIX | $93.15 | — |
| Freedom Health | MGMCD | $110.40 | — |
| Oscar | HIX | $110.40 | — |
| AmeriHealth Caritas | HIX | $117.30 | — |
| Molina | MCR | $131.10 | — |
| Cigna | PPO | $144.90 | — |
| Humana | HMO | $144.90 | — |
| Cigna | HMO | $144.90 | — |
| AvMed | FullyInsured | $144.90 | — |
| Health Sun Health Plan | MGMCR | $146.97 | — |
| MMM of FL (Health Advantage Plan) | MCR | $158.70 | — |
| United PPO | OptionsPPO | $163.53 | — |
| AvMed | ASOEO | $165.60 | — |
| AvMed | Empower | $179.40 | — |
| AvMed | Flex | $179.40 | — |
| AvMed | Focus | $179.40 | — |
| AvMed | Select | $179.40 | — |
| AvMed | Engage | $179.40 | — |
| Sunshine State Health Plan | QHP | $182.16 | — |
| Molina | HIX | $186.30 | — |
| AvMed | MDCSelect | $193.20 | — |
| AvMed | JHSSelect | $193.20 | — |
| Aetna | ASA | $207.00 | — |
| Humana | PPO | $234.60 | — |
| BLIS | COMM | $241.50 | — |
| United | GlobalBenefitPlanAppendix | $310.50 | — |
| AvMed | JacksonFirstNetworkOON | $345.00 | — |
| Prime Health Sherriff | COMM | $345.00 | — |
| Plotkin Health | COMM | $345.00 | — |
| Medica HealthCare | MCR | $400.20 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $517.50 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $586.50 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ot training self care/home management direct contact each 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $154.62 | $30.23 – $53.11 |
| Adventhealth Lake Wales | Lake Wales | $223.58 | $31.82 – $70.64 |
| Adventhealth Palm Coast Parkway | Palm Coast | $184.45 | not published |
| Adventhealth Tampa | Tampa | $167.01 | $31.82 – $70.64 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $199.82 | $30.23 – $69.51 |
| Adventhealth Port Charlotte | Port Charlotte | $312.67 | not published |
| cleveland clinic florida weston hospital | Weston | $222.95 | $17.96 – $291.55 |
| martin north hospital | Stuart | $222.95 | $18.91 – $257.25 |