Factor ix 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.
$2.82 with AvMed vs $197.52 with Careworks (Rockport Community) — 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 |
|---|---|---|---|
| AvMed | HIX | $2.82 | — |
| United | OptionsPPO | $3.53 | — |
| Simply | MGMCR | $3.63 | — |
| Molina Healthcare | MGMCR | $4.47 | — |
| Humana | HMO | $4.71 | — |
| Humana | PPO | $4.71 | — |
| Evolutions | TieredNetwork | $5.41 | — |
| AvMed | HMOFI | $5.88 | — |
| Sunshine State Health Plan | QHP | $6.00 | — |
| Aetna | ASA | $7.06 | — |
| AvMed | ASOEO | $7.06 | — |
| Molina Healthcare | HIX | $7.53 | — |
| United | GlobalBenefitPlan | $10.59 | — |
| Plotkin Health | COMM | $11.77 | — |
| Prime Health Sheriff | WORKERSCOMP | $11.77 | — |
| Prime Health Sheriff | COMM | $11.77 | — |
| AvMed | HIXOON | $11.77 | — |
| Corizon PHS | Prison | $14.12 | — |
| Hospice of North Central FL | MCD | $17.14 | — |
| Hospice of North Central FL | MCR | $17.14 | — |
| Hospice of North Central FL | FEDERAL | $17.14 | — |
| Humana | TRICARE | $17.26 | — |
| Multiplan | Primary | $18.36 | — |
| Evernorth | BHCOMM | $18.83 | — |
| United Behavioral Health | VACCN | $19.04 | — |
| Humana | MGMCRHMO | $19.04 | — |
| Humana | MGMCRPPO | $19.04 | — |
| United | VACCN | $19.04 | — |
| United | AllPayerAppendix | $19.04 | — |
| NDMS Definitive Care | MGMCR | $19.04 | — |
| Wellmed | MGMCR | $19.04 | — |
| BCBS | MCRHMO | $19.42 | — |
| BCBS | MCRPPO | $19.42 | — |
| Capital Health Plan | MCRHMO | $19.42 | — |
| United | MCR | $19.42 | — |
| Aetna | MCR | $19.52 | — |
| Sunshine State | MCR | $19.99 | — |
| WellCare | MCR | $19.99 | — |
| Multiplan | Complementary | $20.01 | — |
| Evolutions Healthcare | TRADITIONALPPO | $20.01 | — |
| PPO Next | PPO | $20.01 | — |
| PPO Next | COMM | $20.01 | — |
| American Health Plan | MCR | $20.18 | — |
| Align Senior Care | MGMCR | $20.37 | — |
| Cigna Healthspring | MCR | $20.37 | — |
| Florida Complete Care | MCR | $20.37 | — |
| Gold Kidney of Florida | MCR | $20.75 | — |
| Centurion | GVT | $20.94 | — |
| Clear Spring Health | MCR | $20.94 | — |
| NovaNet | COMM | $21.19 | — |
| Ultimate Health Plan | MCR | $21.90 | — |
| Longevity Health Plan | MCR | $22.85 | — |
| Oscar | HIX | $23.23 | — |
| Beacon Health Options | MCR | $23.54 | — |
| Simply Healthcare | HIX | $23.80 | — |
| CorVel Corporation | WORKERSCOMP | $187.64 | — |
| Prime Health | WC | $191.59 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $197.52 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Factor ix at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $68.40 | $18.09 – $31.78 |
| Adventhealth Lake Wales | Lake Wales | $59.98 | $19.04 – $42.27 |
| Adventhealth Palm Coast Parkway | Palm Coast | $69.85 | $18.09 – $40.67 |
| Adventhealth Tampa | Tampa | $94.52 | $19.04 – $42.27 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $61.91 | $18.09 – $41.59 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $386.00 | $15.23 – $181.37 |
| Adventhealth Port Charlotte | Port Charlotte | $119.70 | $19.04 – $34.77 |
| cleveland clinic florida weston hospital | Weston | $109.85 | $12.26 – $141.10 |