Annual Physical, New 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$28.53 with BCBS vs $15,000.00 with American Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $28.53 | — |
| BCBS | MCRHMO | $28.62 | — |
| Aetna | MCR | $29.83 | — |
| BCBS | SBN | $45.82 | — |
| BCBS | MBN | $45.82 | — |
| BCBS | BSL | $45.82 | — |
| BCBS | HMO | $61.39 | — |
| Aetna | QHP | $63.11 | — |
| United | OptionsPPO | $64.84 | — |
| Simply | MGMCR | $66.57 | — |
| BCBS | NWB | $70.46 | — |
| BCBS | PPO | $70.46 | — |
| Cigna | NBN | $75.22 | — |
| Aetna | PPO | $77.38 | — |
| Aetna | HMO | $77.38 | — |
| Molina Healthcare | MGMCR | $82.14 | — |
| Humana | TRICARE | $83.80 | — |
| Humana | PPO | $86.46 | — |
| Humana | HMO | $86.46 | — |
| BCBS | PHS | $108.94 | — |
| Sunshine State Health Plan | QHP | $110.23 | — |
| Aetna | ASA | $129.69 | — |
| Molina Healthcare | HIX | $138.33 | — |
| Cigna | ManagedCareHMO | $179.83 | — |
| Cigna | PPO | $179.83 | — |
| United | GlobalBenefitPlan | $194.53 | — |
| AvMed | HIXOON | $216.15 | — |
| Plotkin Health | COMM | $216.15 | — |
| Prime Health Sheriff | WORKERSCOMP | $216.15 | — |
| Prime Health Sheriff | COMM | $216.15 | — |
| Corizon PHS | Prison | $259.37 | — |
| Multiplan | Primary | $337.19 | — |
| Evernorth | BHCOMM | $345.83 | — |
| Multiplan | Complementary | $367.45 | — |
| PPO Next | COMM | $367.45 | — |
| PPO Next | PPO | $367.45 | — |
| Evolutions Healthcare | TRADITIONALPPO | $367.45 | — |
| NovaNet | COMM | $389.06 | — |
| Beacon Health Options | MCR | $432.29 | — |
| American Health Plan | MCR | $15,000.00 | — |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 40-64) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $605.80 | $53.42 – $652.40 |
| martin north hospital | Stuart | $605.80 | $66.14 – $838.80 |
| indian river hospital | Vero Beach | $605.80 | $59.18 – $792.20 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $93.63 – $93.63 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $90.82 – $93.63 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $93.44 – $93.44 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $359.00 – $359.00 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns | not published | $359.00 – $359.00 |