Pr moderate sedation same physician >= 5 years initial 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.
$14.25 with CorVel Corporation vs $407.15 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $14.25 | — |
| CareWorks (Rockport) | WORKERSCOMP | $14.55 | — |
| Prime Health | WORKERSCOMP | $14.55 | — |
| Aetna | MCR | $33.05 | — |
| BCBS | MCRHMO | $34.97 | — |
| Freedom Health | MGMCR | $41.19 | — |
| Optimum | MGMCR | $41.19 | — |
| BCBS | MBN | $47.90 | — |
| BCBS | SBN | $59.88 | — |
| BCBS | HMO | $59.88 | — |
| AvMed | HIX | $62.27 | — |
| Simply Healthcare Plans | MGMCR | $62.27 | — |
| Simply Healthcare | HIX | $64.67 | — |
| Aetna | QHP | $66.58 | — |
| Oscar | HIX | $76.64 | — |
| Freedom Health | MGMCD | $76.64 | — |
| BCBS | PPO | $78.08 | — |
| BCBS | NWB | $78.08 | — |
| Aetna | HMO | $80.95 | — |
| AmeriHealth Caritas | HIX | $81.43 | — |
| Molina | MCR | $91.01 | — |
| Aetna | PPO | $93.41 | — |
| Cigna | HMO | $100.59 | — |
| Cigna | PPO | $100.59 | — |
| Humana | HMO | $100.59 | — |
| AvMed | FullyInsured | $100.59 | — |
| Health Sun Health Plan | MGMCR | $102.03 | — |
| BCBS | BSLNON-PAR | $108.25 | — |
| BCBS | PHS | $108.25 | — |
| MMM of FL (Health Advantage Plan) | MCR | $110.17 | — |
| United PPO | OptionsPPO | $113.52 | — |
| AvMed | ASOEO | $114.96 | — |
| AvMed | Engage | $124.54 | — |
| AvMed | Select | $124.54 | — |
| AvMed | Empower | $124.54 | — |
| AvMed | Flex | $124.54 | — |
| AvMed | Focus | $124.54 | — |
| Sunshine State Health Plan | QHP | $126.46 | — |
| Molina | HIX | $129.33 | — |
| AvMed | JHSSelect | $134.12 | — |
| AvMed | MDCSelect | $134.12 | — |
| Aetna | ASA | $143.70 | — |
| Humana | PPO | $162.86 | — |
| BLIS | COMM | $167.65 | — |
| United | GlobalBenefitPlanAppendix | $215.55 | — |
| Prime Health Sherriff | COMM | $239.50 | — |
| AvMed | JacksonFirstNetworkOON | $239.50 | — |
| Plotkin Health | COMM | $239.50 | — |
| Medica HealthCare | MCR | $277.82 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $359.25 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $407.15 | — |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $343.56 | not published |
| Adventhealth Lake Wales | Lake Wales | $1,714.51 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $365.85 | not published |
| Adventhealth Tampa | Tampa | $1,210.15 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $533.57 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $609.22 | not published |
| cleveland clinic florida weston hospital | Weston | $569.40 | $9.60 – $744.60 |
| martin north hospital | Stuart | $569.40 | $11.91 – $438.00 |