Electrophysiology evaluation at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$24,792.71
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.
$24,792.71
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.
$86.45 with CorVel Corporation vs $64,800.00 with Cigna — 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 | $86.45 | ↓ -100% |
| Prime Health | WC | $88.27 | ↓ -100% |
| Careworks (Rockport Community) | WORKERSCOMP | $91.00 | ↓ -100% |
| AvMed | HIX | $2,975.13 | ↓ -88% |
| United | OptionsPPO | $3,718.91 | ↓ -85% |
| AvMed | HMOFI | $6,198.18 | ↓ -75% |
| Aetna | ASA | $7,437.81 | ↓ -70% |
| AvMed | ASOEO | $7,437.81 | ↓ -70% |
| Molina Healthcare | MGMCR | $7,500.00 | ↓ -70% |
| United | AllPayerAppendix | $9,009.00 | ↓ -64% |
| Molina Healthcare | HIX | $9,611.00 | ↓ -61% |
| Sunshine State Health Plan | QHP | $10,204.00 | ↓ -59% |
| United | GlobalBenefitPlan | $11,156.72 | ↓ -55% |
| Aetna | QHP | $12,393.00 | ↓ -50% |
| Plotkin Health | COMM | $12,396.35 | ↓ -50% |
| Prime Health Sheriff | COMM | $12,396.35 | ↓ -50% |
| AvMed | HIXOON | $12,396.35 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $12,396.35 | ↓ -50% |
| Corizon PHS | Prison | $14,875.63 | ↓ -40% |
| Aetna | HMO | $16,195.00 | ↓ -35% |
| Aetna | PPO | $16,195.00 | ↓ -35% |
| BCBS | MBN | $17,022.00 | ↓ -31% |
| BCBS | BSL | $17,022.00 | ↓ -31% |
| BCBS | SBN | $17,022.00 | ↓ -31% |
| BCBS | PHS | $17,399.00 | ↓ -30% |
| Multiplan | Primary | $19,338.31 | ↓ -22% |
| Evernorth | BHCOMM | $19,834.17 | ↓ -20% |
| Capital Health Plan | HIX | $19,906.00 | ↓ -20% |
| Evolutions | TieredNetwork | $20,188.00 | ↓ -19% |
| Multiplan | Complementary | $21,073.80 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $21,073.80 | ↓ -15% |
| PPO Next | PPO | $21,073.80 | ↓ -15% |
| PPO Next | COMM | $21,073.80 | ↓ -15% |
| NovaNet | COMM | $22,313.44 | ↓ -10% |
| BCBS | HMO | $23,142.00 | ↓ -7% |
| Capital Health Plan | HMO | $23,901.00 | ↓ -4% |
| BCBS | NWB | $24,110.00 | ↓ -3% |
| BCBS | PPO | $24,110.00 | ↓ -3% |
| Beacon Health Options | MCR | $24,792.71 | ↑ +0% |
| Cigna | NBN | $27,091.00 | ↑ +9% |
| Humana | PPO | $27,266.00 | ↑ +10% |
| Humana | HMO | $27,266.00 | ↑ +10% |
| Oscar | HIX | $30,042.00 | ↑ +21% |
| Simply Healthcare | HIX | $30,775.00 | ↑ +24% |
| Cigna | PPO | $64,800.00 | ↑ +161% |
| Cigna | ManagedCareHMO | $64,800.00 | ↑ +161% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $16,705.22 | $7,737.77 – $13,594.05 |
| Adventhealth Tampa | Tampa | $21,906.42 | $8,145.02 – $18,081.96 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $38,984.00 | $86.45 – $88.27 |
| Adventhealth Port Charlotte | Port Charlotte | $25,192.38 | $8,145.02 – $14,872.82 |
| cleveland clinic florida weston hospital | Weston | $38,688.65 | $249.43 – $46,359.00 |
| martin north hospital | Stuart | $35,451.00 | $811.00 – $27,270.00 |
| indian river hospital | Vero Beach | $35,451.00 | $800.64 – $43,632.00 |
| Baptist Hospital | MIAMI | $14,748.50 | $173.17 – $20,421.00 |