Dup scan/ue art/graft/bilat/comp 93930 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.
$167.20 with CorVel Corporation vs $1,561.12 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 | $167.20 | — |
| Prime Health | WC | $170.72 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $176.00 | — |
| AvMed | HIX | $187.33 | — |
| Oscar | HIX | $187.33 | — |
| Simply Healthcare | HIX | $198.26 | — |
| United | OptionsPPO | $234.17 | — |
| Simply | MGMCR | $240.41 | — |
| Cigna | NBN | $271.63 | — |
| Molina Healthcare | MGMCR | $296.61 | — |
| Humana | HMO | $312.22 | — |
| Humana | PPO | $312.22 | — |
| Evolutions | TieredNetwork | $359.06 | — |
| AvMed | HMOFI | $390.28 | — |
| Sunshine State Health Plan | QHP | $398.09 | — |
| Aetna | ASA | $468.34 | — |
| AvMed | ASOEO | $468.34 | — |
| Molina Healthcare | HIX | $499.56 | — |
| Cigna | PPO | $649.43 | — |
| Cigna | ManagedCareHMO | $649.43 | — |
| United | GlobalBenefitPlan | $702.50 | — |
| Prime Health Sheriff | WORKERSCOMP | $780.56 | — |
| Plotkin Health | COMM | $780.56 | — |
| Prime Health Sheriff | COMM | $780.56 | — |
| AvMed | HIXOON | $780.56 | — |
| Corizon PHS | Prison | $936.67 | — |
| Multiplan | Primary | $1,217.67 | — |
| Evernorth | BHCOMM | $1,248.90 | — |
| Evolutions Healthcare | TRADITIONALPPO | $1,326.95 | — |
| PPO Next | COMM | $1,326.95 | — |
| PPO Next | PPO | $1,326.95 | — |
| Multiplan | Complementary | $1,326.95 | — |
| NovaNet | COMM | $1,405.01 | — |
| Beacon Health Options | MCR | $1,561.12 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,702.61 | $236.71 – $415.86 |
| Adventhealth Lake Wales | Lake Wales | $4,909.62 | $249.17 – $553.15 |
| Adventhealth Palm Coast Parkway | Palm Coast | $2,028.20 | $236.71 – $532.20 |
| Adventhealth Tampa | Tampa | $2,788.71 | $249.17 – $553.15 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,343.07 | $236.71 – $544.31 |
| Adventhealth Port Charlotte | Port Charlotte | $3,332.08 | $249.17 – $454.98 |
| cleveland clinic florida weston hospital | Weston | $1,337.70 | $19.60 – $1,477.30 |
| martin north hospital | Stuart | $1,337.70 | $17.54 – $869.00 |