Duplex scan unilateral study 93986 at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$547.11
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.
$547.11
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.
$65.65 with Oscar vs $547.11 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 |
|---|---|---|---|
| Oscar | HIX | $65.65 | ↓ -88% |
| AvMed | HIX | $65.65 | ↓ -88% |
| Simply Healthcare | HIX | $69.48 | ↓ -87% |
| United | OptionsPPO | $82.07 | ↓ -85% |
| Simply | MGMCR | $84.25 | ↓ -85% |
| Cigna | NBN | $95.20 | ↓ -83% |
| Molina Healthcare | MGMCR | $103.95 | ↓ -81% |
| Humana | HMO | $109.42 | ↓ -80% |
| Humana | PPO | $109.42 | ↓ -80% |
| CorVel Corporation | WORKERSCOMP | $111.15 | ↓ -80% |
| Prime Health | WC | $113.49 | ↓ -79% |
| Careworks (Rockport Community) | WORKERSCOMP | $117.00 | ↓ -79% |
| Evolutions | TieredNetwork | $125.84 | ↓ -77% |
| AvMed | HMOFI | $136.78 | ↓ -75% |
| Sunshine State Health Plan | QHP | $139.51 | ↓ -75% |
| Aetna | ASA | $164.13 | ↓ -70% |
| AvMed | ASOEO | $164.13 | ↓ -70% |
| Molina Healthcare | HIX | $175.08 | ↓ -68% |
| Cigna | PPO | $227.60 | ↓ -58% |
| Cigna | ManagedCareHMO | $227.60 | ↓ -58% |
| United | GlobalBenefitPlan | $246.20 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $273.56 | ↓ -50% |
| Plotkin Health | COMM | $273.56 | ↓ -50% |
| Prime Health Sheriff | COMM | $273.56 | ↓ -50% |
| AvMed | HIXOON | $273.56 | ↓ -50% |
| Corizon PHS | Prison | $328.27 | ↓ -40% |
| Multiplan | Primary | $426.75 | ↓ -22% |
| Evernorth | BHCOMM | $437.69 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $465.04 | ↓ -15% |
| PPO Next | COMM | $465.04 | ↓ -15% |
| PPO Next | PPO | $465.04 | ↓ -15% |
| Multiplan | Complementary | $465.04 | ↓ -15% |
| NovaNet | COMM | $492.40 | ↓ -10% |
| Beacon Health Options | MCR | $547.11 | ↑ +0% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Duplex scan unilateral study 93986 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,606.50 | $103.72 – $182.21 |
| Adventhealth Lake Wales | Lake Wales | $3,265.95 | $109.17 – $242.37 |
| Adventhealth Tampa | Tampa | $1,344.82 | $109.17 – $242.37 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $781.00 | $111.15 – $113.49 |
| Adventhealth Port Charlotte | Port Charlotte | $1,510.34 | $109.17 – $199.35 |
| cleveland clinic florida weston hospital | Weston | $626.60 | $23.48 – $649.40 |
| martin north hospital | Stuart | $626.60 | $24.65 – $382.00 |
| indian river hospital | Vero Beach | $626.60 | $23.48 – $611.20 |