Established Patient Office Visit (level 1) 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.
$11.79 with BCBS vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| BCBS | MCRPPO | $11.79 | — |
| BCBS | MCRHMO | $11.83 | — |
| Aetna | MCR | $12.33 | — |
| CorVel Corporation | WORKERSCOMP | $18.05 | — |
| Prime Health | WC | $18.43 | — |
| BCBS | BSL | $18.94 | — |
| BCBS | SBN | $18.94 | — |
| BCBS | MBN | $18.94 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $19.00 | — |
| BCBS | HMO | $25.37 | — |
| Aetna | QHP | $26.08 | — |
| United | OptionsPPO | $26.80 | — |
| Simply | MGMCR | $27.51 | — |
| BCBS | PPO | $29.12 | — |
| BCBS | NWB | $29.12 | — |
| Cigna | NBN | $31.09 | — |
| Aetna | HMO | $31.98 | — |
| Aetna | PPO | $31.98 | — |
| Molina Healthcare | MGMCR | $33.95 | — |
| Humana | PPO | $35.73 | — |
| Humana | HMO | $35.73 | — |
| BCBS | PHS | $45.02 | — |
| Sunshine State Health Plan | QHP | $45.56 | — |
| Aetna | ASA | $53.60 | — |
| Molina Healthcare | HIX | $57.17 | — |
| Cigna | ManagedCareHMO | $74.32 | — |
| Cigna | PPO | $74.32 | — |
| United | GlobalBenefitPlan | $80.40 | — |
| Prime Health Sheriff | WORKERSCOMP | $89.33 | — |
| Plotkin Health | COMM | $89.33 | — |
| Prime Health Sheriff | COMM | $89.33 | — |
| AvMed | HIXOON | $89.33 | — |
| Corizon PHS | Prison | $107.20 | — |
| Multiplan | Primary | $139.35 | — |
| Evernorth | BHCOMM | $142.93 | — |
| Multiplan | Complementary | $151.86 | — |
| Evolutions Healthcare | TRADITIONALPPO | $151.86 | — |
| PPO Next | PPO | $151.86 | — |
| PPO Next | COMM | $151.86 | — |
| NovaNet | COMM | $160.79 | — |
| Beacon Health Options | MCR | $178.66 | — |
| American Health Plan | MCR | $15,000.00 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $265.94 | not published |
| Adventhealth Lake Wales | Lake Wales | $543.34 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $360.17 | not published |
| Adventhealth Tampa | Tampa | $313.58 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $197.87 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $584.72 | not published |
| cleveland clinic florida weston hospital | Weston | $122.20 | $5.59 – $159.80 |
| martin north hospital | Stuart | $122.20 | $6.99 – $94.00 |