Cytopath tbs c/v manual 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$15.15 with United vs $171.90 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 |
|---|---|---|---|
| United | AllPayerAppendix | $15.15 | — |
| Hospice of North Central FL | MCD | $16.69 | — |
| Hospice of North Central FL | MCR | $16.69 | — |
| Hospice of North Central FL | FEDERAL | $16.69 | — |
| Humana | TRICARE | $16.80 | — |
| United | VACCN | $18.54 | — |
| Humana | MGMCRHMO | $18.54 | — |
| NDMS Definitive Care | MGMCR | $18.54 | — |
| United Behavioral Health | VACCN | $18.54 | — |
| Humana | MGMCRPPO | $18.54 | — |
| Wellmed | MGMCR | $18.54 | — |
| Capital Health Plan | MCRHMO | $18.91 | — |
| United | MCR | $18.91 | — |
| BCBS | MCRHMO | $18.91 | — |
| BCBS | MCRPPO | $18.91 | — |
| Aetna | MCR | $19.00 | — |
| Sunshine State | MCR | $19.47 | — |
| WellCare | MCR | $19.47 | — |
| American Health Plan | MCR | $19.65 | — |
| Align Senior Care | MGMCR | $19.84 | — |
| Cigna Healthspring | MCR | $19.84 | — |
| Florida Complete Care | MCR | $19.84 | — |
| Gold Kidney of Florida | MCR | $20.21 | — |
| Clear Spring Health | MCR | $20.39 | — |
| Centurion | GVT | $20.39 | — |
| Ultimate Health Plan | MCR | $21.32 | — |
| Longevity Health Plan | MCR | $22.25 | — |
| Oscar | HIX | $22.62 | — |
| Simply Healthcare | HIX | $23.17 | — |
| CorVel Corporation | WORKERSCOMP | $163.31 | — |
| Prime Health | WC | $166.74 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $171.90 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Cytopath tbs c/v manual at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $63.67 | $18.54 – $41.16 |
| Adventhealth Port Charlotte | Port Charlotte | $63.67 | $18.54 – $33.85 |
| cleveland clinic florida weston hospital | Weston | $18.20 | $7.00 – $28.00 |
| martin north hospital | Stuart | $39.65 | $8.20 – $61.00 |
| Boca Raton Regional Hospital | BOCA RATON | $77.35 | $14.76 – $26.77 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $12.40 | $13.31 – $45.48 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $27.60 | $15.12 – $65.00 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $29.60 | $15.12 – $65.00 |