Tl-201 thallium diag per mci 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.
$27.05 with Aetna vs $333.20 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 |
|---|---|---|---|
| Aetna | MCR | $27.05 | — |
| BCBS | MCRHMO | $28.62 | — |
| Freedom Health | MGMCR | $33.71 | — |
| Optimum | MGMCR | $33.71 | — |
| Simply Healthcare Plans | MGMCR | $50.96 | — |
| AvMed | HIX | $50.96 | — |
| Simply Healthcare | HIX | $52.92 | — |
| Freedom Health | MGMCD | $62.72 | — |
| Oscar | HIX | $62.72 | — |
| AmeriHealth Caritas | HIX | $66.64 | — |
| Molina | MCR | $74.48 | — |
| United | AllPayerAppendix | $78.80 | — |
| Humana | HMO | $82.32 | — |
| AvMed | FullyInsured | $82.32 | — |
| Cigna | PPO | $82.32 | — |
| Cigna | HMO | $82.32 | — |
| Health Sun Health Plan | MGMCR | $83.50 | — |
| MMM of FL (Health Advantage Plan) | MCR | $90.16 | — |
| United PPO | OptionsPPO | $92.90 | — |
| AvMed | ASOEO | $94.08 | — |
| AvMed | Empower | $101.92 | — |
| AvMed | Flex | $101.92 | — |
| AvMed | Focus | $101.92 | — |
| AvMed | Select | $101.92 | — |
| AvMed | Engage | $101.92 | — |
| Sunshine State Health Plan | QHP | $103.49 | — |
| Molina | HIX | $105.84 | — |
| AvMed | MDCSelect | $109.76 | — |
| AvMed | JHSSelect | $109.76 | — |
| Humana | PPO | $133.28 | — |
| BLIS | COMM | $137.20 | — |
| United | GlobalBenefitPlanAppendix | $176.40 | — |
| AvMed | JacksonFirstNetworkOON | $196.00 | — |
| Prime Health Sherriff | COMM | $196.00 | — |
| Plotkin Health | COMM | $196.00 | — |
| Medica HealthCare | MCR | $227.36 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $294.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $333.20 | — |
Visitor-reported prices
Comments
Tl-201 thallium diag per mci at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $221.00 | $78.80 – $78.80 |
| Baptist Hospital | MIAMI | $71.50 | $19.03 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $71.50 | $22.11 – $110.00 |
| Boca Raton Regional Hospital | BOCA RATON | $258.05 | $142.92 – $397.00 |
| Doctors Hospital | CORAL GABLES | $71.50 | $19.25 – $99.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $71.50 | $19.14 – $99.00 |
| Fishermens Community Hospital | MARATHON | $71.50 | $18.37 – $99.00 |
| Homestead Hospital | HOMESTEAD | $71.50 | $18.70 – $167.89 |