Surgical pathology level 5 gross & microscopic examination at HCA FLORIDA NORTHWEST HOSPITAL
2801 NORTH STATE ROAD 7, MARGATE, FL · HCA Florida Healthcare · · NPI 1063466563
$2,628.00
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.
$2,628.00
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.
$226.01 with Freedom Health vs $2,233.80 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $226.01 | ↓ -91% |
| Optimum | MGMCR | $226.01 | ↓ -91% |
| United | AllPayerAppendix | $291.26 | ↓ -89% |
| AvMed | HIX | $341.64 | ↓ -87% |
| Simply Healthcare Plans | MGMCR | $341.64 | ↓ -87% |
| Simply Healthcare | HIX | $354.78 | ↓ -87% |
| Oscar | HIX | $420.48 | ↓ -84% |
| Freedom Health | MGMCD | $420.48 | ↓ -84% |
| AmeriHealth Caritas | HIX | $446.76 | ↓ -83% |
| Molina | MCR | $499.32 | ↓ -81% |
| AvMed | FullyInsured | $551.88 | ↓ -79% |
| Humana | HMO | $551.88 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $559.76 | ↓ -79% |
| MMM of FL (Health Advantage Plan) | MCR | $604.44 | ↓ -77% |
| United PPO | OptionsPPO | $622.84 | ↓ -76% |
| AvMed | ASOEO | $630.72 | ↓ -76% |
| CorVel Corporation | WORKERSCOMP | $673.44 | ↓ -74% |
| AvMed | Focus | $683.28 | ↓ -74% |
| AvMed | Select | $683.28 | ↓ -74% |
| AvMed | Empower | $683.28 | ↓ -74% |
| AvMed | Engage | $683.28 | ↓ -74% |
| AvMed | Flex | $683.28 | ↓ -74% |
| Prime Health | WORKERSCOMP | $687.61 | ↓ -74% |
| CareWorks (Rockport) | WORKERSCOMP | $687.61 | ↓ -74% |
| Sunshine State Health Plan | QHP | $693.79 | ↓ -74% |
| Molina | HIX | $709.56 | ↓ -73% |
| AvMed | JHSSelect | $735.84 | ↓ -72% |
| AvMed | MDCSelect | $735.84 | ↓ -72% |
| Aetna | ASA | $788.40 | ↓ -70% |
| Humana | PPO | $893.52 | ↓ -66% |
| BLIS | COMM | $919.80 | ↓ -65% |
| United | GlobalBenefitPlanAppendix | $1,182.60 | ↓ -55% |
| AvMed | JacksonFirstNetworkOON | $1,314.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $1,314.00 | ↓ -50% |
| Plotkin Health | COMM | $1,314.00 | ↓ -50% |
| Medica HealthCare | MCR | $1,524.24 | ↓ -42% |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,971.00 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $2,233.80 | ↓ -15% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $713.38 | $355.60 – $624.74 |
| Adventhealth Lake Wales | Lake Wales | $915.98 | $374.32 – $830.99 |
| Adventhealth Palm Coast Parkway | Palm Coast | $717.11 | $355.60 – $799.51 |
| Adventhealth Tampa | Tampa | $1,494.75 | $374.32 – $830.99 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $616.32 | $355.60 – $817.70 |
| Adventhealth Port Charlotte | Port Charlotte | $1,434.09 | $374.32 – $683.50 |
| cleveland clinic florida weston hospital | Weston | $444.60 | $47.77 – $684.00 |
| martin north hospital | Stuart | $445.25 | $99.69 – $684.00 |