Appl modality 1/> areas paraffin bath 97018 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.
$3.87 with AvMed vs $32.29 with Beacon Health Options — 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 | $3.87 | — |
| Oscar | HIX | $3.87 | — |
| Simply Healthcare | HIX | $4.10 | — |
| United | OptionsPPO | $4.84 | — |
| Hospice of North Central FL | MCR | $5.42 | — |
| Hospice of North Central FL | MCD | $5.42 | — |
| Hospice of North Central FL | FEDERAL | $5.42 | — |
| Cigna | NBN | $5.62 | — |
| Humana | TRICARE | $5.84 | — |
| Wellmed | MGMCR | $6.02 | — |
| United | VACCN | $6.02 | — |
| United Behavioral Health | VACCN | $6.02 | — |
| Humana | MGMCRHMO | $6.02 | — |
| Humana | MGMCRPPO | $6.02 | — |
| NDMS Definitive Care | MGMCR | $6.02 | — |
| United | MCR | $6.14 | — |
| Capital Health Plan | MCRHMO | $6.14 | — |
| Molina Healthcare | MGMCR | $6.14 | — |
| BCBS | MCRPPO | $6.14 | — |
| BCBS | MCRHMO | $6.14 | — |
| Aetna | MCR | $6.17 | — |
| WellCare | MCR | $6.32 | — |
| Sunshine State | MCR | $6.32 | — |
| American Health Plan | MCR | $6.38 | — |
| Cigna Healthspring | MCR | $6.44 | — |
| Align Senior Care | MGMCR | $6.44 | — |
| Florida Complete Care | MCR | $6.44 | — |
| Humana | PPO | $6.46 | — |
| Humana | HMO | $6.46 | — |
| Gold Kidney of Florida | MCR | $6.56 | — |
| Centurion | GVT | $6.62 | — |
| Clear Spring Health | MCR | $6.62 | — |
| Ultimate Health Plan | MCR | $6.92 | — |
| Longevity Health Plan | MCR | $7.22 | — |
| Evolutions | TieredNetwork | $7.43 | — |
| AvMed | HMOFI | $8.07 | — |
| Sunshine State Health Plan | QHP | $8.23 | — |
| CorVel Corporation | WORKERSCOMP | $9.50 | — |
| Aetna | ASA | $9.69 | — |
| AvMed | ASOEO | $9.69 | — |
| Prime Health | WC | $9.70 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $10.00 | — |
| Molina Healthcare | HIX | $10.33 | — |
| Cigna | PPO | $13.43 | — |
| Cigna | ManagedCareHMO | $13.43 | — |
| United | GlobalBenefitPlan | $14.53 | — |
| Prime Health Sheriff | COMM | $16.14 | — |
| AvMed | HIXOON | $16.14 | — |
| Plotkin Health | COMM | $16.14 | — |
| Prime Health Sheriff | WORKERSCOMP | $16.14 | — |
| Corizon PHS | Prison | $19.37 | — |
| Multiplan | Primary | $25.19 | — |
| Evernorth | BHCOMM | $25.83 | — |
| PPO Next | PPO | $27.45 | — |
| PPO Next | COMM | $27.45 | — |
| Evolutions Healthcare | TRADITIONALPPO | $27.45 | — |
| Multiplan | Complementary | $27.45 | — |
| NovaNet | COMM | $29.06 | — |
| Beacon Health Options | MCR | $32.29 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Appl modality 1/> areas paraffin bath 97018 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $156.18 | $6.34 – $11.13 |
| Adventhealth Lake Wales | Lake Wales | $198.66 | $6.67 – $14.81 |
| Adventhealth Palm Coast Parkway | Palm Coast | $208.61 | not published |
| Adventhealth Tampa | Tampa | $261.59 | $6.67 – $14.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $85.83 | $6.34 – $14.57 |
| Adventhealth Port Charlotte | Port Charlotte | $253.76 | not published |
| cleveland clinic florida weston hospital | Weston | $135.20 | $4.70 – $176.80 |
| martin north hospital | Stuart | $135.20 | $7.70 – $156.00 |