Compatibility test incubate at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$1,010.20
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.
$1,010.20
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.
$53.76 with CorVel Corporation vs $1,010.20 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $53.76 | ↓ -95% |
| Prime Health | WC | $54.89 | ↓ -95% |
| Careworks (Rockport Community) | WORKERSCOMP | $56.59 | ↓ -94% |
| AvMed | HIX | $121.22 | ↓ -88% |
| Oscar | HIX | $121.22 | ↓ -88% |
| Simply Healthcare | HIX | $128.30 | ↓ -87% |
| United | AllPayerAppendix | $149.16 | ↓ -85% |
| United | OptionsPPO | $151.53 | ↓ -85% |
| Simply | MGMCR | $155.57 | ↓ -85% |
| Molina Healthcare | MGMCR | $191.94 | ↓ -81% |
| Humana | PPO | $202.04 | ↓ -80% |
| Humana | HMO | $202.04 | ↓ -80% |
| Evolutions | TieredNetwork | $232.35 | ↓ -77% |
| AvMed | HMOFI | $252.55 | ↓ -75% |
| Sunshine State Health Plan | QHP | $257.60 | ↓ -75% |
| Aetna | ASA | $303.06 | ↓ -70% |
| AvMed | ASOEO | $303.06 | ↓ -70% |
| Molina Healthcare | HIX | $323.26 | ↓ -68% |
| United | GlobalBenefitPlan | $454.59 | ↓ -55% |
| AvMed | HIXOON | $505.10 | ↓ -50% |
| Plotkin Health | COMM | $505.10 | ↓ -50% |
| Prime Health Sheriff | COMM | $505.10 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $505.10 | ↓ -50% |
| Corizon PHS | Prison | $606.12 | ↓ -40% |
| Multiplan | Primary | $787.96 | ↓ -22% |
| Evernorth | BHCOMM | $808.16 | ↓ -20% |
| PPO Next | COMM | $858.67 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $858.67 | ↓ -15% |
| Multiplan | Complementary | $858.67 | ↓ -15% |
| PPO Next | PPO | $858.67 | ↓ -15% |
| NovaNet | COMM | $909.18 | ↓ -10% |
| Beacon Health Options | MCR | $1,010.20 | ↑ +0% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Compatibility test incubate at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $1,101.73 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $251.55 | $46.62 – $195.71 |
| martin north hospital | Stuart | $251.55 | $47.83 – $195.71 |
| indian river hospital | Vero Beach | $120.90 | $39.78 – $195.71 |
| Baptist Hospital | MIAMI | $74.10 | $19.72 – $199.26 |
| Bethesda Hospital East | BOYNTON BEACH | $74.10 | $22.91 – $185.03 |
| Doctors Hospital | CORAL GABLES | $74.10 | $19.95 – $199.26 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $74.10 | $19.84 – $195.71 |