Annual Physical, Established Patient (age 40-64) 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.
$23.38 with BCBS vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| BCBS | MCRPPO | $23.38 | — |
| BCBS | MCRHMO | $23.45 | — |
| Aetna | MCR | $24.44 | — |
| BCBS | SBN | $37.55 | — |
| BCBS | MBN | $37.55 | — |
| BCBS | BSL | $37.55 | — |
| BCBS | HMO | $50.31 | — |
| Aetna | QHP | $51.72 | — |
| United | OptionsPPO | $53.14 | — |
| Simply | MGMCR | $54.56 | — |
| BCBS | NWB | $57.75 | — |
| BCBS | PPO | $57.75 | — |
| Cigna | NBN | $61.64 | — |
| Aetna | PPO | $63.41 | — |
| Aetna | HMO | $63.41 | — |
| Molina Healthcare | MGMCR | $67.31 | — |
| Humana | TRICARE | $68.08 | — |
| Humana | PPO | $70.85 | — |
| Humana | HMO | $70.85 | — |
| BCBS | PHS | $89.28 | — |
| Sunshine State Health Plan | QHP | $90.34 | — |
| Aetna | ASA | $106.28 | — |
| Molina Healthcare | HIX | $113.37 | — |
| Cigna | ManagedCareHMO | $147.38 | — |
| Cigna | PPO | $147.38 | — |
| United | GlobalBenefitPlan | $159.42 | — |
| AvMed | HIXOON | $177.13 | — |
| Plotkin Health | COMM | $177.13 | — |
| Prime Health Sheriff | WORKERSCOMP | $177.13 | — |
| Prime Health Sheriff | COMM | $177.13 | — |
| Corizon PHS | Prison | $212.56 | — |
| Multiplan | Primary | $276.33 | — |
| Evernorth | BHCOMM | $283.42 | — |
| Multiplan | Complementary | $301.13 | — |
| PPO Next | COMM | $301.13 | — |
| PPO Next | PPO | $301.13 | — |
| Evolutions Healthcare | TRADITIONALPPO | $301.13 | — |
| NovaNet | COMM | $318.84 | — |
| Beacon Health Options | MCR | $354.27 | — |
| American Health Plan | MCR | $15,000.00 | — |
Visitor-reported prices
Comments
Annual Physical, Established Patient (age 40-64) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $494.00 | $46.03 – $532.00 |
| martin north hospital | Stuart | $494.00 | $59.90 – $684.00 |
| indian river hospital | Vero Beach | $494.00 | $46.03 – $646.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $76.87 – $76.87 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $74.56 – $76.87 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $76.77 – $76.77 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $299.05 – $299.05 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns | not published | $299.05 – $299.05 |