Chylomicron screen, bf - sendout at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$54.15
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.
$54.15
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.
$6.50 with AvMed vs $76.88 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 | $6.50 | ↓ -88% |
| United | OptionsPPO | $8.12 | ↓ -85% |
| Simply | MGMCR | $8.34 | ↓ -85% |
| Molina Healthcare | MGMCR | $10.29 | ↓ -81% |
| Humana | PPO | $10.83 | ↓ -80% |
| Humana | HMO | $10.83 | ↓ -80% |
| Evolutions | TieredNetwork | $12.45 | ↓ -77% |
| AvMed | HMOFI | $13.54 | ↓ -75% |
| Sunshine State Health Plan | QHP | $13.81 | ↓ -74% |
| Aetna | ASA | $16.25 | ↓ -70% |
| AvMed | ASOEO | $16.25 | ↓ -70% |
| Molina Healthcare | HIX | $17.33 | ↓ -68% |
| CorVel Corporation | WORKERSCOMP | $24.34 | ↓ -55% |
| United | GlobalBenefitPlan | $24.37 | ↓ -55% |
| Prime Health | WC | $24.85 | ↓ -54% |
| Careworks (Rockport Community) | WORKERSCOMP | $25.62 | ↓ -53% |
| AvMed | HIXOON | $27.07 | ↓ -50% |
| Prime Health Sheriff | COMM | $27.07 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $27.07 | ↓ -50% |
| Plotkin Health | COMM | $27.07 | ↓ -50% |
| Corizon PHS | Prison | $32.49 | ↓ -40% |
| Multiplan | Primary | $42.24 | ↓ -22% |
| Evernorth | BHCOMM | $43.32 | ↓ -20% |
| PPO Next | COMM | $46.03 | ↓ -15% |
| PPO Next | PPO | $46.03 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $46.03 | ↓ -15% |
| Multiplan | Complementary | $46.03 | ↓ -15% |
| NovaNet | COMM | $48.73 | ↓ -10% |
| Beacon Health Options | MCR | $54.15 | ↑ +0% |
| Hospice of North Central FL | MCR | $55.35 | ↑ +2% |
| Hospice of North Central FL | MCD | $55.35 | ↑ +2% |
| Hospice of North Central FL | FEDERAL | $55.35 | ↑ +2% |
| Humana | TRICARE | $55.75 | ↑ +3% |
| United | VACCN | $61.50 | ↑ +14% |
| Humana | MGMCRHMO | $61.50 | ↑ +14% |
| Humana | MGMCRPPO | $61.50 | ↑ +14% |
| United Behavioral Health | VACCN | $61.50 | ↑ +14% |
| United | AllPayerAppendix | $61.50 | ↑ +14% |
| NDMS Definitive Care | MGMCR | $61.50 | ↑ +14% |
| Wellmed | MGMCR | $61.50 | ↑ +14% |
| United | MCR | $62.73 | ↑ +16% |
| BCBS | MCRPPO | $62.73 | ↑ +16% |
| BCBS | MCRHMO | $62.73 | ↑ +16% |
| Capital Health Plan | MCRHMO | $62.73 | ↑ +16% |
| Aetna | MCR | $63.04 | ↑ +16% |
| WellCare | MCR | $64.58 | ↑ +19% |
| Sunshine State | MCR | $64.58 | ↑ +19% |
| American Health Plan | MCR | $65.19 | ↑ +20% |
| Align Senior Care | MGMCR | $65.81 | ↑ +22% |
| Cigna Healthspring | MCR | $65.81 | ↑ +22% |
| Florida Complete Care | MCR | $65.81 | ↑ +22% |
| Gold Kidney of Florida | MCR | $67.04 | ↑ +24% |
| Clear Spring Health | MCR | $67.65 | ↑ +25% |
| Centurion | GVT | $67.65 | ↑ +25% |
| Ultimate Health Plan | MCR | $70.72 | ↑ +31% |
| Longevity Health Plan | MCR | $73.80 | ↑ +36% |
| Oscar | HIX | $75.03 | ↑ +39% |
| Simply Healthcare | HIX | $76.88 | ↑ +42% |
| 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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Chylomicron screen, bf - sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $186.89 | $58.42 – $102.64 |
| Adventhealth Lake Wales | Lake Wales | $213.59 | $61.50 – $136.53 |
| Adventhealth Palm Coast Parkway | Palm Coast | $186.89 | $58.42 – $131.36 |
| Adventhealth Tampa | Tampa | $949.25 | $61.50 – $136.53 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $119.20 | $58.42 – $134.35 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $72.00 | $23.05 – $89.17 |
| Adventhealth Port Charlotte | Port Charlotte | $410.70 | $61.50 – $112.30 |
| cleveland clinic florida weston hospital | Weston | $229.45 | $13.39 – $154.70 |