Bx vag mucos smpl (sep proc) 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.
$1,943.00 with Simply Healthcare vs $35,535.00 with Cigna — 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 |
|---|---|---|---|
| Simply Healthcare | HIX | $1,943.00 | — |
| Molina Healthcare | MGMCR | $1,950.00 | — |
| Simply | MGMCR | $2,250.00 | — |
| BCBS | BSL | $2,361.00 | — |
| BCBS | SBN | $2,361.00 | — |
| BCBS | MBN | $2,361.00 | — |
| Oscar | HIX | $2,707.00 | — |
| Capital Health Plan | HIX | $2,890.00 | — |
| BCBS | PHS | $3,093.00 | — |
| Molina Healthcare | HIX | $3,242.00 | — |
| BCBS | PPO | $3,247.00 | — |
| BCBS | NWB | $3,247.00 | — |
| BCBS | HMO | $3,302.00 | — |
| Capital Health Plan | HMO | $3,470.00 | — |
| Evolutions | TieredNetwork | $4,121.00 | — |
| United | AllPayerAppendix | $6,763.00 | — |
| AvMed | HIX | $7,042.00 | — |
| CorVel Corporation | WORKERSCOMP | $10,007.23 | — |
| Prime Health | WC | $10,217.91 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $10,533.93 | — |
| AvMed | HMOFI | $14,644.00 | — |
| Cigna | NBN | $14,857.00 | — |
| AvMed | ASOEO | $16,238.00 | — |
| Cigna | ManagedCareHMO | $35,535.00 | — |
| Cigna | PPO | $35,535.00 | — |
Visitor-reported prices
Comments
Bx vag mucos smpl (sep proc) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $3,253.90 | $37.55 – $4,255.10 |
| martin north hospital | Stuart | $3,253.90 | $52.40 – $2,503.00 |
| indian river hospital | Vero Beach | $3,253.90 | $37.55 – $4,004.80 |
| Baptist Hospital | MIAMI | $2,395.90 | $173.17 – $3,317.40 |
| AdventHealth Orlando | Orlando | $4,947.00 | $961.83 – $2,548.86 |
| Adventhealth Carrollwood | Tampa | $7,684.95 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $9,472.99 – $9,672.42 |
| West Kendall Baptist Hospital | MIAMI | not published | not published |