Ankle arthroscopy/surgery at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
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.
$3,950.00 with Molina Healthcare vs $54,020.00 with Cigna — 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 |
|---|---|---|---|
| Molina Healthcare | MGMCR | $3,950.00 | — |
| Simply | MGMCR | $3,950.00 | — |
| Molina Healthcare | HIX | $6,243.00 | — |
| CorVel Corporation | WORKERSCOMP | $6,288.75 | — |
| Prime Health | WC | $6,421.15 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $6,619.74 | — |
| Sunshine State Health Plan | QHP | $6,641.00 | — |
| Simply Healthcare | HIX | $7,432.00 | — |
| Aetna | QHP | $7,519.00 | — |
| Oscar | HIX | $8,062.00 | — |
| Evolutions | TieredNetwork | $9,010.00 | — |
| Aetna | HMO | $9,824.00 | — |
| Aetna | PPO | $9,824.00 | — |
| AvMed | HIX | $10,572.00 | — |
| Ultimate Health Plan | MCR | $12,500.00 | — |
| United | AllPayerAppendix | $12,748.00 | — |
| BCBS | PHS | $13,437.00 | — |
| BCBS | BSL | $18,340.00 | — |
| BCBS | MBN | $18,340.00 | — |
| BCBS | SBN | $18,340.00 | — |
| Humana | PPO | $19,813.00 | — |
| Humana | HMO | $19,813.00 | — |
| BCBS | HMO | $21,661.00 | — |
| AvMed | HMOFI | $21,989.00 | — |
| Cigna | NBN | $22,585.00 | — |
| AvMed | ASOEO | $24,385.00 | — |
| BCBS | NWB | $27,429.00 | — |
| BCBS | PPO | $27,429.00 | — |
| Cigna | PPO | $54,020.00 | — |
| Cigna | ManagedCareHMO | $54,020.00 | — |
| Capital Health Plan | HIX | not published by hospital | — |
| Capital Health Plan | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ankle arthroscopy/surgery at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,853.80 | $358.22 – $3,758.57 |
| AdventHealth Orlando | Orlando | $10,690.00 | $3,416.88 – $9,054.74 |
| Adventhealth Carrollwood | Tampa | $31,045.79 | $614.00 – $7,585.48 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,246.04 – $5,702.77 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,246.04 – $7,298.12 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $7,585.48 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,246.04 – $7,464.18 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $5,953.02 – $6,078.35 |