Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,303.90 with CorVel Corporation vs $35,535.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,303.90 | — |
| Prime Health | WC | $1,331.35 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $1,372.53 | — |
| Simply Healthcare | HIX | $1,943.00 | — |
| Molina Healthcare | MGMCR | $1,950.00 | — |
| Simply | MGMCR | $2,250.00 | — |
| BCBS | BSL | $2,361.00 | — |
| BCBS | SBN | $2,361.00 | — |
| BCBS | MBN | $2,361.00 | — |
| Oscar | HIX | $2,707.00 | — |
| Capital Health Plan | HIX | $2,890.00 | — |
| BCBS | PHS | $3,093.00 | — |
| Molina Healthcare | HIX | $3,242.00 | — |
| BCBS | PPO | $3,247.00 | — |
| BCBS | NWB | $3,247.00 | — |
| BCBS | HMO | $3,302.00 | — |
| Capital Health Plan | HMO | $3,470.00 | — |
| Evolutions | TieredNetwork | $4,121.00 | — |
| United | AllPayerAppendix | $6,763.00 | — |
| AvMed | HIX | $7,042.00 | — |
| AvMed | HMOFI | $14,644.00 | — |
| Cigna | NBN | $14,857.00 | — |
| AvMed | ASOEO | $16,238.00 | — |
| Cigna | PPO | $35,535.00 | — |
| Cigna | ManagedCareHMO | $35,535.00 | — |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $723.71 | $702.51 – $1,234.20 |
| Adventhealth Tampa | Tampa | $7,165.65 | $739.49 – $1,641.66 |
| Adventhealth Port Charlotte | Port Charlotte | $2,092.66 | $739.49 – $1,350.30 |
| cleveland clinic florida weston hospital | Weston | $1,715.35 | $71.51 – $2,243.15 |
| martin north hospital | Stuart | $1,715.35 | $113.41 – $1,319.50 |
| indian river hospital | Vero Beach | $1,715.35 | $71.51 – $2,111.20 |
| Baptist Hospital | MIAMI | $1,086.15 | $173.17 – $1,503.90 |
| Bethesda Hospital East | BOYNTON BEACH | $1,086.15 | $273.54 – $1,503.90 |