C-1 esterase, berinert 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.
$27.44 with BCBS vs $258.86 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 |
|---|---|---|---|
| BCBS | MBN | $27.44 | — |
| BCBS | BSL | $27.44 | — |
| BCBS | SBN | $27.44 | — |
| BCBS | HMO | $36.76 | — |
| United | OptionsPPO | $38.83 | — |
| Simply | MGMCR | $39.86 | — |
| BCBS | NWB | $42.19 | — |
| BCBS | PPO | $42.19 | — |
| Evolutions | TieredNetwork | $59.54 | — |
| BCBS | PHS | $65.23 | — |
| Humana | TRICARE | $73.58 | — |
| Aetna | ASA | $77.66 | — |
| Molina Healthcare | HIX | $82.84 | — |
| United | GlobalBenefitPlan | $116.49 | — |
| Plotkin Health | COMM | $129.43 | — |
| Prime Health Sheriff | WORKERSCOMP | $129.43 | — |
| Prime Health Sheriff | COMM | $129.43 | — |
| AvMed | HIXOON | $129.43 | — |
| Corizon PHS | Prison | $155.32 | — |
| Multiplan | Primary | $201.91 | — |
| Evernorth | BHCOMM | $207.09 | — |
| PPO Next | COMM | $220.03 | — |
| PPO Next | PPO | $220.03 | — |
| Evolutions Healthcare | TRADITIONALPPO | $220.03 | — |
| Multiplan | Complementary | $220.03 | — |
| United | AllPayerAppendix | $227.58 | — |
| NovaNet | COMM | $232.97 | — |
| Beacon Health Options | MCR | $258.86 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY | $302.00 | $70.10 – $125.17 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE | $6,634.00 | $70.10 – $125.17 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH | $7,815.00 | $70.10 – $163.10 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena | $7,815.00 | $70.10 – $163.10 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $72.27 – $125.17 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $70.10 – $163.10 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $70.10 – $125.17 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $70.10 – $125.17 |