Cell marker study 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.83 with Oscar vs $171.90 with Careworks (Rockport Community) — 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 |
|---|---|---|---|
| Oscar | HIX | $2.83 | — |
| AvMed | HIX | $2.83 | — |
| Simply Healthcare | HIX | $3.00 | — |
| United | OptionsPPO | $3.54 | — |
| Simply | MGMCR | $3.64 | — |
| Molina Healthcare | MGMCR | $4.49 | — |
| Humana | HMO | $4.72 | — |
| Humana | PPO | $4.72 | — |
| Evolutions | TieredNetwork | $5.43 | — |
| AvMed | HMOFI | $5.91 | — |
| Sunshine State Health Plan | QHP | $6.02 | — |
| Aetna | ASA | $7.09 | — |
| AvMed | ASOEO | $7.09 | — |
| Molina Healthcare | HIX | $7.56 | — |
| United | GlobalBenefitPlan | $10.63 | — |
| AvMed | HIXOON | $11.81 | — |
| Prime Health Sheriff | WORKERSCOMP | $11.81 | — |
| Plotkin Health | COMM | $11.81 | — |
| Prime Health Sheriff | COMM | $11.81 | — |
| Corizon PHS | Prison | $14.17 | — |
| Multiplan | Primary | $18.42 | — |
| Evernorth | BHCOMM | $18.90 | — |
| Evolutions Healthcare | TRADITIONALPPO | $20.08 | — |
| PPO Next | COMM | $20.08 | — |
| Multiplan | Complementary | $20.08 | — |
| PPO Next | PPO | $20.08 | — |
| NovaNet | COMM | $21.26 | — |
| Beacon Health Options | MCR | $23.62 | — |
| United | AllPayerAppendix | $49.76 | — |
| CorVel Corporation | WORKERSCOMP | $163.31 | — |
| Prime Health | WC | $166.74 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $171.90 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Cell marker study at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $91.00 | $49.76 – $157.84 |
| Adventhealth Port Charlotte | Port Charlotte | $332.79 | $54.42 – $99.37 |
| cleveland clinic florida weston hospital | Weston | $415.35 | $11.52 – $175.00 |
| martin north hospital | Stuart | $415.35 | $12.13 – $221.05 |
| indian river hospital | Vero Beach | $415.35 | $11.52 – $511.20 |
| Boca Raton Regional Hospital | BOCA RATON | $664.95 | $25.20 – $70.00 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $36.66 | $49.76 – $160.23 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $37.74 | $49.47 – $283.73 |