Adh-sendout at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$37.96
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.
$37.96
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.
$4.56 with AvMed vs $42.42 with Simply Healthcare — 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 |
|---|---|---|---|
| AvMed | HIX | $4.56 | ↓ -88% |
| United | OptionsPPO | $5.69 | ↓ -85% |
| Simply | MGMCR | $5.85 | ↓ -85% |
| Molina Healthcare | MGMCR | $7.21 | ↓ -81% |
| Humana | HMO | $7.59 | ↓ -80% |
| Humana | PPO | $7.59 | ↓ -80% |
| Evolutions | TieredNetwork | $8.73 | ↓ -77% |
| AvMed | HMOFI | $9.49 | ↓ -75% |
| Sunshine State Health Plan | QHP | $9.68 | ↓ -74% |
| AvMed | ASOEO | $11.39 | ↓ -70% |
| Aetna | ASA | $11.39 | ↓ -70% |
| Molina Healthcare | HIX | $12.15 | ↓ -68% |
| United | GlobalBenefitPlan | $17.08 | ↓ -55% |
| Prime Health Sheriff | COMM | $18.98 | ↓ -50% |
| Plotkin Health | COMM | $18.98 | ↓ -50% |
| AvMed | HIXOON | $18.98 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $18.98 | ↓ -50% |
| Corizon PHS | Prison | $22.78 | ↓ -40% |
| Multiplan | Primary | $29.61 | ↓ -22% |
| Evernorth | BHCOMM | $30.37 | ↓ -20% |
| Hospice of North Central FL | MCR | $30.55 | ↓ -20% |
| Hospice of North Central FL | MCD | $30.55 | ↓ -20% |
| Hospice of North Central FL | FEDERAL | $30.55 | ↓ -20% |
| Humana | TRICARE | $30.76 | ↓ -19% |
| PPO Next | PPO | $32.27 | ↓ -15% |
| PPO Next | COMM | $32.27 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $32.27 | ↓ -15% |
| Multiplan | Complementary | $32.27 | ↓ -15% |
| CorVel Corporation | WORKERSCOMP | $32.46 | ↓ -14% |
| Prime Health | WC | $33.14 | ↓ -13% |
| United | VACCN | $33.94 | ↓ -11% |
| Humana | MGMCRHMO | $33.94 | ↓ -11% |
| Humana | MGMCRPPO | $33.94 | ↓ -11% |
| United Behavioral Health | VACCN | $33.94 | ↓ -11% |
| United | AllPayerAppendix | $33.94 | ↓ -11% |
| NDMS Definitive Care | MGMCR | $33.94 | ↓ -11% |
| Wellmed | MGMCR | $33.94 | ↓ -11% |
| NovaNet | COMM | $34.16 | ↓ -10% |
| Careworks (Rockport Community) | WORKERSCOMP | $34.17 | ↓ -10% |
| BCBS | MCRPPO | $34.62 | ↓ -9% |
| United | MCR | $34.62 | ↓ -9% |
| Capital Health Plan | MCRHMO | $34.62 | ↓ -9% |
| BCBS | MCRHMO | $34.62 | ↓ -9% |
| Aetna | MCR | $34.79 | ↓ -8% |
| WellCare | MCR | $35.64 | ↓ -6% |
| Sunshine State | MCR | $35.64 | ↓ -6% |
| American Health Plan | MCR | $35.98 | ↓ -5% |
| Cigna Healthspring | MCR | $36.32 | ↓ -4% |
| Florida Complete Care | MCR | $36.32 | ↓ -4% |
| Align Senior Care | MGMCR | $36.32 | ↓ -4% |
| Gold Kidney of Florida | MCR | $36.99 | ↓ -3% |
| Centurion | GVT | $37.33 | ↓ -2% |
| Clear Spring Health | MCR | $37.33 | ↓ -2% |
| Beacon Health Options | MCR | $37.96 | ↑ +0% |
| Ultimate Health Plan | MCR | $39.03 | ↑ +3% |
| Longevity Health Plan | MCR | $40.73 | ↑ +7% |
| Oscar | HIX | $41.41 | ↑ +9% |
| Simply Healthcare | HIX | $42.42 | ↑ +12% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Adh-sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $98.22 | $32.24 – $56.65 |
| Adventhealth Lake Wales | Lake Wales | $106.91 | $33.94 – $75.35 |
| Adventhealth Palm Coast Parkway | Palm Coast | $37.17 | $32.24 – $72.49 |
| Adventhealth Tampa | Tampa | $118.79 | $33.94 – $75.35 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $133.57 | $32.24 – $74.14 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $29.00 | $27.15 – $49.21 |
| Adventhealth Port Charlotte | Port Charlotte | $227.05 | $33.94 – $61.97 |
| cleveland clinic florida weston hospital | Weston | $37.70 | $14.25 – $52.34 |