Application of paste boot 29580 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.
$40.45 with Oscar vs $12,500.00 with Ultimate 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 |
|---|---|---|---|
| Oscar | HIX | $40.45 | — |
| AvMed | HIX | $40.45 | — |
| Simply Healthcare | HIX | $42.81 | — |
| Aetna | QHP | $49.22 | — |
| United | OptionsPPO | $50.56 | — |
| Cigna | NBN | $58.66 | — |
| Aetna | PPO | $60.34 | — |
| Aetna | HMO | $60.34 | — |
| Humana | HMO | $67.42 | — |
| Humana | PPO | $67.42 | — |
| AvMed | HMOFI | $84.28 | — |
| Sunshine State Health Plan | QHP | $85.96 | — |
| Aetna | ASA | $101.13 | — |
| AvMed | ASOEO | $101.13 | — |
| Molina Healthcare | HIX | $107.87 | — |
| Cigna | ManagedCareHMO | $140.23 | — |
| Cigna | PPO | $140.23 | — |
| United | GlobalBenefitPlan | $151.70 | — |
| Prime Health Sheriff | COMM | $168.55 | — |
| Plotkin Health | COMM | $168.55 | — |
| Prime Health Sheriff | WORKERSCOMP | $168.55 | — |
| AvMed | HIXOON | $168.55 | — |
| Corizon PHS | Prison | $202.26 | — |
| Multiplan | Primary | $262.94 | — |
| Evernorth | BHCOMM | $269.68 | — |
| Multiplan | Complementary | $286.54 | — |
| Evolutions Healthcare | TRADITIONALPPO | $286.54 | — |
| PPO Next | COMM | $286.54 | — |
| PPO Next | PPO | $286.54 | — |
| NovaNet | COMM | $303.39 | — |
| Beacon Health Options | MCR | $337.10 | — |
| Simply | MGMCR | $521.20 | — |
| CorVel Corporation | WORKERSCOMP | $868.25 | — |
| Prime Health | WC | $886.53 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $913.95 | — |
| BCBS | BSL | $1,262.00 | — |
| BCBS | SBN | $1,262.00 | — |
| BCBS | MBN | $1,262.00 | — |
| Capital Health Plan | HIX | $1,461.00 | — |
| BCBS | PHS | $1,640.00 | — |
| BCBS | HMO | $1,697.00 | — |
| BCBS | NWB | $1,725.00 | — |
| BCBS | PPO | $1,725.00 | — |
| Capital Health Plan | HMO | $1,754.00 | — |
| Molina Healthcare | MGMCR | $3,950.00 | — |
| Evolutions | TieredNetwork | $4,121.00 | — |
| United | AllPayerAppendix | $5,259.00 | — |
| Ultimate Health Plan | MCR | $12,500.00 | — |
Visitor-reported prices
Comments
Application of paste boot 29580 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $389.36 | $161.21 – $283.22 |
| Adventhealth Lake Wales | Lake Wales | $649.69 | $169.70 – $376.72 |
| Adventhealth Tampa | Tampa | $1,741.99 | $169.70 – $376.72 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $469.92 | $161.21 – $370.70 |
| Adventhealth Port Charlotte | Port Charlotte | $988.34 | $169.70 – $309.86 |
| cleveland clinic florida weston hospital | Weston | $590.20 | $20.60 – $771.80 |
| martin north hospital | Stuart | $590.20 | $25.44 – $454.00 |
| indian river hospital | Vero Beach | $590.20 | $20.60 – $726.40 |