Bld prd mix at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$174.84
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.
$174.84
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.
$18.53 with BCBS vs $174.84 with Beacon Health Options — 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 | SBN | $18.53 | ↓ -89% |
| BCBS | BSL | $18.53 | ↓ -89% |
| BCBS | MBN | $18.53 | ↓ -89% |
| Oscar | HIX | $20.98 | ↓ -88% |
| AvMed | HIX | $20.98 | ↓ -88% |
| Simply Healthcare | HIX | $22.20 | ↓ -87% |
| BCBS | HMO | $24.83 | ↓ -86% |
| United | OptionsPPO | $26.23 | ↓ -85% |
| Simply | MGMCR | $26.93 | ↓ -85% |
| BCBS | NWB | $28.50 | ↓ -84% |
| BCBS | PPO | $28.50 | ↓ -84% |
| Cigna | NBN | $30.42 | ↓ -83% |
| Molina Healthcare | MGMCR | $33.22 | ↓ -81% |
| Humana | HMO | $34.97 | ↓ -80% |
| Humana | PPO | $34.97 | ↓ -80% |
| Evolutions | TieredNetwork | $40.21 | ↓ -77% |
| AvMed | HMOFI | $43.71 | ↓ -75% |
| BCBS | PHS | $44.06 | ↓ -75% |
| Sunshine State Health Plan | QHP | $44.58 | ↓ -75% |
| AvMed | ASOEO | $52.45 | ↓ -70% |
| Aetna | ASA | $52.45 | ↓ -70% |
| Molina Healthcare | HIX | $55.95 | ↓ -68% |
| Cigna | PPO | $72.73 | ↓ -58% |
| Cigna | ManagedCareHMO | $72.73 | ↓ -58% |
| United | GlobalBenefitPlan | $78.68 | ↓ -55% |
| CorVel Corporation | WORKERSCOMP | $84.19 | ↓ -52% |
| Prime Health | WC | $85.96 | ↓ -51% |
| Plotkin Health | COMM | $87.42 | ↓ -50% |
| Prime Health Sheriff | COMM | $87.42 | ↓ -50% |
| AvMed | HIXOON | $87.42 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $87.42 | ↓ -50% |
| Careworks (Rockport Community) | WORKERSCOMP | $88.62 | ↓ -49% |
| Corizon PHS | Prison | $104.90 | ↓ -40% |
| Multiplan | Primary | $136.38 | ↓ -22% |
| Evernorth | BHCOMM | $139.87 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $148.61 | ↓ -15% |
| Multiplan | Complementary | $148.61 | ↓ -15% |
| PPO Next | COMM | $148.61 | ↓ -15% |
| PPO Next | PPO | $148.61 | ↓ -15% |
| United | AllPayerAppendix | $149.16 | ↓ -15% |
| NovaNet | COMM | $157.36 | ↓ -10% |
| Beacon Health Options | MCR | $174.84 | ↑ +0% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Bld prd mix at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $1,101.73 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $117.00 | $46.62 – $195.71 |
| martin north hospital | Stuart | $117.00 | $50.94 – $195.71 |
| Baptist Hospital | MIAMI | $40.95 | $4.32 – $199.26 |
| Bethesda Hospital East | BOYNTON BEACH | $40.95 | $12.66 – $185.03 |
| Boca Raton Regional Hospital | BOCA RATON | $349.05 | $27.51 – $298.42 |
| Doctors Hospital | CORAL GABLES | $40.95 | $11.03 – $199.26 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $40.95 | $10.96 – $195.71 |