Vaccine pneumococcal conjugate 13 valent (pcv13) im at HCA FLORIDA NORTHWEST HOSPITAL
2801 NORTH STATE ROAD 7, MARGATE, FL · HCA Florida Healthcare · · NPI 1063466563
$567.00
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.
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What you pay up front if you don't use insurance.
$567.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$48.76 with Freedom Health vs $772.76 with CareWorks (Rockport) — 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $48.76 | ↓ -91% |
| Optimum | MGMCR | $48.76 | ↓ -91% |
| BCBS | MBN | $56.70 | ↓ -90% |
| BCBS | HMO | $70.88 | ↓ -87% |
| BCBS | SBN | $70.88 | ↓ -87% |
| Simply Healthcare Plans | MGMCR | $73.71 | ↓ -87% |
| Freedom Health | MGMCD | $90.72 | ↓ -84% |
| BCBS | PPO | $92.42 | ↓ -84% |
| BCBS | NWB | $92.42 | ↓ -84% |
| BCBS | PHS | $128.14 | ↓ -77% |
| BCBS | BSLNON-PAR | $128.14 | ↓ -77% |
| MMM of FL (Health Advantage Plan) | MCR | $130.41 | ↓ -77% |
| United PPO | OptionsPPO | $134.38 | ↓ -76% |
| AvMed | Focus | $147.42 | ↓ -74% |
| AvMed | Empower | $147.42 | ↓ -74% |
| AvMed | Engage | $147.42 | ↓ -74% |
| AvMed | Select | $147.42 | ↓ -74% |
| AvMed | Flex | $147.42 | ↓ -74% |
| AvMed | MDCSelect | $158.76 | ↓ -72% |
| AvMed | JHSSelect | $158.76 | ↓ -72% |
| Aetna | ASA | $170.10 | ↓ -70% |
| BLIS | COMM | $198.45 | ↓ -65% |
| Humana | TRICR | $250.25 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $255.15 | ↓ -55% |
| Plotkin Health | COMM | $283.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $283.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $283.50 | ↓ -50% |
| Medica HealthCare | MCR | $328.86 | ↓ -42% |
| Multiplan | COMMPPOPRIMARYNETWORK | $425.25 | ↓ -25% |
| United | AllPayerAppendix | $425.45 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $481.95 | ↓ -15% |
| CorVel Corporation | WORKERSCOMP | $756.83 | ↑ +33% |
| Prime Health | WORKERSCOMP | $772.76 | ↑ +36% |
| CareWorks (Rockport) | WORKERSCOMP | $772.76 | ↑ +36% |
| Prominence HealthFirst | MCRHMO | not published by hospital | — |
| American Health Plan | MCR | not published by hospital | — |
| Oscar | MCR | not published by hospital | — |
| Centurion | GVT | not published by hospital | — |
| Aetna | MCR | not published by hospital | — |
| AmeriHealth Caritas | MGMCR | not published by hospital | — |
| United | MCR | not published by hospital | — |
| United | GVT | not published by hospital | — |
| HUMANA | MGMCRHMO | not published by hospital | — |
| HUMANA | MGMCRPPO | not published by hospital | — |
| Cigna HealthSpring | MGMCR | not published by hospital | — |
| BCBS | MCRHMO | not published by hospital | — |
| BCBS | MCRPPO | not published by hospital | — |
| Longevity Health Plan | MCR | not published by hospital | — |
| Align | MCR | not published by hospital | — |
| AvMed | MCR | not published by hospital | — |
| CarePlus SFL | MGMCR | not published by hospital | — |
| Doctors Healthcare Plan | MCR | not published by hospital | — |
| Florida Complete Care | MCR | not published by hospital | — |
| Gold Kidney | MCR | not published by hospital | — |
| NDMS Definitive Care | MGMCR | not published by hospital | — |
| Devoted Health | MCR | not published by hospital | — |
| Solis Health Plan | MCR | not published by hospital | — |
| Sunshine State | MCD | not published by hospital | — |
| Sunshine State | MCR | not published by hospital | — |
| Veterans Evaluation Services | MCR | not published by hospital | — |
| Wellmed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $599.00 | $257.99 – $702.93 |
| cleveland clinic florida weston hospital | Weston | $1,089.31 | $79.26 – $1,381.16 |
| martin north hospital | Stuart | $1,089.31 | $83.43 – $814.00 |
| indian river hospital | Vero Beach | $1,089.31 | $79.26 – $814.00 |
| Baptist Hospital | MIAMI | $393.25 | $77.93 – $544.50 |
| Bethesda Hospital East | BOYNTON BEACH | $393.25 | $77.93 – $544.50 |
| Doctors Hospital | CORAL GABLES | $393.25 | $75.54 – $544.50 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $393.25 | $75.54 – $544.50 |