Carotene at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$9.42
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.
$9.42
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.
$1.13 with AvMed vs $82.21 with Careworks (Rockport Community) — 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 | $1.13 | ↓ -88% |
| United | OptionsPPO | $1.41 | ↓ -85% |
| Simply | MGMCR | $1.45 | ↓ -85% |
| Molina Healthcare | MGMCR | $1.79 | ↓ -81% |
| Humana | PPO | $1.88 | ↓ -80% |
| Humana | HMO | $1.88 | ↓ -80% |
| Evolutions | TieredNetwork | $2.17 | ↓ -77% |
| AvMed | HMOFI | $2.35 | ↓ -75% |
| Sunshine State Health Plan | QHP | $2.40 | ↓ -75% |
| AvMed | ASOEO | $2.83 | ↓ -70% |
| Aetna | ASA | $2.83 | ↓ -70% |
| Molina Healthcare | HIX | $3.01 | ↓ -68% |
| United | GlobalBenefitPlan | $4.24 | ↓ -55% |
| AvMed | HIXOON | $4.71 | ↓ -50% |
| Plotkin Health | COMM | $4.71 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $4.71 | ↓ -50% |
| Prime Health Sheriff | COMM | $4.71 | ↓ -50% |
| Corizon PHS | Prison | $5.65 | ↓ -40% |
| Multiplan | Primary | $7.35 | ↓ -22% |
| Evernorth | BHCOMM | $7.54 | ↓ -20% |
| PPO Next | COMM | $8.01 | ↓ -15% |
| Multiplan | Complementary | $8.01 | ↓ -15% |
| PPO Next | PPO | $8.01 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $8.01 | ↓ -15% |
| Hospice of North Central FL | MCD | $8.30 | ↓ -12% |
| Hospice of North Central FL | MCR | $8.30 | ↓ -12% |
| Hospice of North Central FL | FEDERAL | $8.30 | ↓ -12% |
| Humana | TRICARE | $8.36 | ↓ -11% |
| NovaNet | COMM | $8.48 | ↓ -10% |
| United Behavioral Health | VACCN | $9.22 | ↓ -2% |
| Humana | MGMCRHMO | $9.22 | ↓ -2% |
| Humana | MGMCRPPO | $9.22 | ↓ -2% |
| United | VACCN | $9.22 | ↓ -2% |
| United | AllPayerAppendix | $9.22 | ↓ -2% |
| NDMS Definitive Care | MGMCR | $9.22 | ↓ -2% |
| Wellmed | MGMCR | $9.22 | ↓ -2% |
| United | MCR | $9.40 | ↓ -0% |
| BCBS | MCRPPO | $9.40 | ↓ -0% |
| BCBS | MCRHMO | $9.40 | ↓ -0% |
| Capital Health Plan | MCRHMO | $9.40 | ↓ -0% |
| Beacon Health Options | MCR | $9.42 | ↑ +0% |
| Aetna | MCR | $9.45 | ↑ +0% |
| Sunshine State | MCR | $9.68 | ↑ +3% |
| WellCare | MCR | $9.68 | ↑ +3% |
| American Health Plan | MCR | $9.77 | ↑ +4% |
| Align Senior Care | MGMCR | $9.87 | ↑ +5% |
| Florida Complete Care | MCR | $9.87 | ↑ +5% |
| Cigna Healthspring | MCR | $9.87 | ↑ +5% |
| Gold Kidney of Florida | MCR | $10.05 | ↑ +7% |
| Clear Spring Health | MCR | $10.14 | ↑ +8% |
| Centurion | GVT | $10.14 | ↑ +8% |
| Ultimate Health Plan | MCR | $10.60 | ↑ +13% |
| Longevity Health Plan | MCR | $11.06 | ↑ +17% |
| Oscar | HIX | $11.25 | ↑ +19% |
| Simply Healthcare | HIX | $11.53 | ↑ +22% |
| CorVel Corporation | WORKERSCOMP | $78.10 | ↑ +729% |
| Prime Health | WC | $79.74 | ↑ +746% |
| Careworks (Rockport Community) | WORKERSCOMP | $82.21 | ↑ +773% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Carotene at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $62.88 | $9.22 – $20.47 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $35.60 | $8.76 – $20.14 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $10.00 | $7.38 – $75.49 |
| Adventhealth Port Charlotte | Port Charlotte | $61.22 | $9.22 – $16.84 |
| cleveland clinic florida weston hospital | Weston | $9.10 | $2.59 – $14.00 |
| martin north hospital | Stuart | $26.00 | $2.73 – $13.58 |
| Baptist Hospital | MIAMI | $27.30 | $2.85 – $37.80 |
| Bethesda Hospital East | BOYNTON BEACH | $27.30 | $2.85 – $37.80 |