#cf-97variants at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$67.12
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.
$67.12
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.
$8.05 with AvMed vs $695.75 with Simply Healthcare — 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 | $8.05 | ↓ -88% |
| United | OptionsPPO | $10.07 | ↓ -85% |
| Simply | MGMCR | $10.34 | ↓ -85% |
| Molina Healthcare | MGMCR | $12.75 | ↓ -81% |
| Humana | HMO | $13.42 | ↓ -80% |
| Humana | PPO | $13.42 | ↓ -80% |
| Evolutions | TieredNetwork | $15.44 | ↓ -77% |
| AvMed | HMOFI | $16.78 | ↓ -75% |
| Sunshine State Health Plan | QHP | $17.12 | ↓ -74% |
| Aetna | ASA | $20.14 | ↓ -70% |
| AvMed | ASOEO | $20.14 | ↓ -70% |
| Molina Healthcare | HIX | $21.48 | ↓ -68% |
| United | GlobalBenefitPlan | $30.20 | ↓ -55% |
| AvMed | HIXOON | $33.56 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $33.56 | ↓ -50% |
| Plotkin Health | COMM | $33.56 | ↓ -50% |
| Prime Health Sheriff | COMM | $33.56 | ↓ -50% |
| Corizon PHS | Prison | $40.27 | ↓ -40% |
| Multiplan | Primary | $52.35 | ↓ -22% |
| Evernorth | BHCOMM | $53.70 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $57.05 | ↓ -15% |
| PPO Next | COMM | $57.05 | ↓ -15% |
| PPO Next | PPO | $57.05 | ↓ -15% |
| Multiplan | Complementary | $57.05 | ↓ -15% |
| NovaNet | COMM | $60.41 | ↓ -10% |
| Beacon Health Options | MCR | $67.12 | ↑ +0% |
| CorVel Corporation | WORKERSCOMP | $111.06 | ↑ +65% |
| Prime Health | WC | $113.40 | ↑ +69% |
| Careworks (Rockport Community) | WORKERSCOMP | $116.91 | ↑ +74% |
| Hospice of North Central FL | MCD | $500.94 | ↑ +646% |
| Hospice of North Central FL | FEDERAL | $500.94 | ↑ +646% |
| Hospice of North Central FL | MCR | $500.94 | ↑ +646% |
| Humana | TRICARE | $504.49 | ↑ +652% |
| United | VACCN | $556.60 | ↑ +729% |
| Humana | MGMCRHMO | $556.60 | ↑ +729% |
| Humana | MGMCRPPO | $556.60 | ↑ +729% |
| United Behavioral Health | VACCN | $556.60 | ↑ +729% |
| United | AllPayerAppendix | $556.60 | ↑ +729% |
| NDMS Definitive Care | MGMCR | $556.60 | ↑ +729% |
| Wellmed | MGMCR | $556.60 | ↑ +729% |
| United | MCR | $567.73 | ↑ +746% |
| BCBS | MCRPPO | $567.73 | ↑ +746% |
| BCBS | MCRHMO | $567.73 | ↑ +746% |
| Capital Health Plan | MCRHMO | $567.73 | ↑ +746% |
| Aetna | MCR | $570.51 | ↑ +750% |
| WellCare | MCR | $584.43 | ↑ +771% |
| Sunshine State | MCR | $584.43 | ↑ +771% |
| American Health Plan | MCR | $590.00 | ↑ +779% |
| Align Senior Care | MGMCR | $595.56 | ↑ +787% |
| Cigna Healthspring | MCR | $595.56 | ↑ +787% |
| Florida Complete Care | MCR | $595.56 | ↑ +787% |
| Gold Kidney of Florida | MCR | $606.69 | ↑ +804% |
| Clear Spring Health | MCR | $612.26 | ↑ +812% |
| Centurion | GVT | $612.26 | ↑ +812% |
| Ultimate Health Plan | MCR | $640.09 | ↑ +854% |
| Longevity Health Plan | MCR | $667.92 | ↑ +895% |
| Oscar | HIX | $679.05 | ↑ +912% |
| Simply Healthcare | HIX | $695.75 | ↑ +937% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
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#cf-97variants at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,691.38 | $528.77 – $928.97 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,580.47 | $528.77 – $1,188.84 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,194.28 | $528.77 – $1,215.89 |
| Adventhealth Port Charlotte | Port Charlotte | $3,717.42 | $556.60 – $1,016.35 |
| cleveland clinic florida weston hospital | Weston | $518.70 | $170.10 – $681.00 |
| martin north hospital | Stuart | $518.70 | $163.20 – $612.26 |
| indian river hospital | Vero Beach | $375.05 | $135.02 – $612.26 |
| Baptist Hospital | MIAMI | $455.00 | $121.10 – $630.00 |