_fragile x methylation-sendout at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$211.38
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.
$211.38
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.
$25.37 with AvMed vs $211.38 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 |
|---|---|---|---|
| AvMed | HIX | $25.37 | ↓ -88% |
| United | OptionsPPO | $31.71 | ↓ -85% |
| Simply | MGMCR | $32.55 | ↓ -85% |
| Molina Healthcare | MGMCR | $40.16 | ↓ -81% |
| Hospice of North Central FL | FEDERAL | $40.40 | ↓ -81% |
| Hospice of North Central FL | MCD | $40.40 | ↓ -81% |
| Hospice of North Central FL | MCR | $40.40 | ↓ -81% |
| Humana | PPO | $42.28 | ↓ -80% |
| Humana | HMO | $42.28 | ↓ -80% |
| United | AllPayerAppendix | $44.89 | ↓ -79% |
| Wellmed | MGMCR | $44.89 | ↓ -79% |
| NDMS Definitive Care | MGMCR | $44.89 | ↓ -79% |
| United | VACCN | $44.89 | ↓ -79% |
| United Behavioral Health | VACCN | $44.89 | ↓ -79% |
| Humana | MGMCRPPO | $44.89 | ↓ -79% |
| Humana | MGMCRHMO | $44.89 | ↓ -79% |
| BCBS | MCRHMO | $45.79 | ↓ -78% |
| Capital Health Plan | MCRHMO | $45.79 | ↓ -78% |
| United | MCR | $45.79 | ↓ -78% |
| BCBS | MCRPPO | $45.79 | ↓ -78% |
| Aetna | MCR | $46.01 | ↓ -78% |
| Sunshine State | MCR | $47.13 | ↓ -78% |
| WellCare | MCR | $47.13 | ↓ -78% |
| American Health Plan | MCR | $47.58 | ↓ -77% |
| Florida Complete Care | MCR | $48.03 | ↓ -77% |
| Align Senior Care | MGMCR | $48.03 | ↓ -77% |
| Cigna Healthspring | MCR | $48.03 | ↓ -77% |
| Evolutions | TieredNetwork | $48.62 | ↓ -77% |
| Gold Kidney of Florida | MCR | $48.93 | ↓ -77% |
| Clear Spring Health | MCR | $49.38 | ↓ -77% |
| Centurion | GVT | $49.38 | ↓ -77% |
| Ultimate Health Plan | MCR | $51.62 | ↓ -76% |
| AvMed | HMOFI | $52.84 | ↓ -75% |
| Longevity Health Plan | MCR | $53.87 | ↓ -75% |
| Sunshine State Health Plan | QHP | $53.90 | ↓ -75% |
| Oscar | HIX | $54.77 | ↓ -74% |
| Simply Healthcare | HIX | $56.11 | ↓ -73% |
| AvMed | ASOEO | $63.41 | ↓ -70% |
| Aetna | ASA | $63.41 | ↓ -70% |
| Molina Healthcare | HIX | $67.64 | ↓ -68% |
| United | GlobalBenefitPlan | $95.12 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $105.69 | ↓ -50% |
| AvMed | HIXOON | $105.69 | ↓ -50% |
| Prime Health Sheriff | COMM | $105.69 | ↓ -50% |
| Plotkin Health | COMM | $105.69 | ↓ -50% |
| CorVel Corporation | WORKERSCOMP | $111.06 | ↓ -47% |
| Prime Health | WC | $113.40 | ↓ -46% |
| Careworks (Rockport Community) | WORKERSCOMP | $116.91 | ↓ -45% |
| Corizon PHS | Prison | $126.83 | ↓ -40% |
| Multiplan | Primary | $164.88 | ↓ -22% |
| Evernorth | BHCOMM | $169.10 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $179.67 | ↓ -15% |
| Multiplan | Complementary | $179.67 | ↓ -15% |
| PPO Next | PPO | $179.67 | ↓ -15% |
| PPO Next | COMM | $179.67 | ↓ -15% |
| NovaNet | COMM | $190.24 | ↓ -10% |
| Beacon Health Options | MCR | $211.38 | ↑ +0% |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
_fragile x methylation-sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Boca Raton Regional Hospital | BOCA RATON | $534.95 | $44.89 – $154.11 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $175.75 | $39.50 – $112.23 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $190.00 | $44.89 – $168.20 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $190.00 | $44.89 – $168.20 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $190.00 | $44.89 – $168.20 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns | $175.75 | $39.50 – $112.23 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $175.75 | $39.50 – $112.23 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $175.75 | $39.50 – $112.23 |