Ghs phenylketonurid at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$23.54
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.
$23.54
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 $82.21 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 | ↓ -88% |
| United | OptionsPPO | $3.53 | ↓ -85% |
| Simply | MGMCR | $3.63 | ↓ -85% |
| Molina Healthcare | MGMCR | $4.47 | ↓ -81% |
| Humana | HMO | $4.71 | ↓ -80% |
| Humana | PPO | $4.71 | ↓ -80% |
| Hospice of North Central FL | FEDERAL | $4.95 | ↓ -79% |
| Hospice of North Central FL | MCD | $4.95 | ↓ -79% |
| Hospice of North Central FL | MCR | $4.95 | ↓ -79% |
| Humana | TRICARE | $4.99 | ↓ -79% |
| Evolutions | TieredNetwork | $5.41 | ↓ -77% |
| Humana | MGMCRHMO | $5.50 | ↓ -77% |
| Wellmed | MGMCR | $5.50 | ↓ -77% |
| United | AllPayerAppendix | $5.50 | ↓ -77% |
| United Behavioral Health | VACCN | $5.50 | ↓ -77% |
| United | VACCN | $5.50 | ↓ -77% |
| Humana | MGMCRPPO | $5.50 | ↓ -77% |
| NDMS Definitive Care | MGMCR | $5.50 | ↓ -77% |
| Capital Health Plan | MCRHMO | $5.61 | ↓ -76% |
| BCBS | MCRPPO | $5.61 | ↓ -76% |
| BCBS | MCRHMO | $5.61 | ↓ -76% |
| United | MCR | $5.61 | ↓ -76% |
| Aetna | MCR | $5.64 | ↓ -76% |
| Sunshine State | MCR | $5.78 | ↓ -75% |
| WellCare | MCR | $5.78 | ↓ -75% |
| American Health Plan | MCR | $5.83 | ↓ -75% |
| AvMed | HMOFI | $5.88 | ↓ -75% |
| Florida Complete Care | MCR | $5.89 | ↓ -75% |
| Cigna Healthspring | MCR | $5.89 | ↓ -75% |
| Align Senior Care | MGMCR | $5.89 | ↓ -75% |
| Gold Kidney of Florida | MCR | $6.00 | ↓ -75% |
| Sunshine State Health Plan | QHP | $6.00 | ↓ -75% |
| Centurion | GVT | $6.05 | ↓ -74% |
| Clear Spring Health | MCR | $6.05 | ↓ -74% |
| Ultimate Health Plan | MCR | $6.32 | ↓ -73% |
| Longevity Health Plan | MCR | $6.60 | ↓ -72% |
| Oscar | HIX | $6.71 | ↓ -71% |
| Simply Healthcare | HIX | $6.88 | ↓ -71% |
| AvMed | ASOEO | $7.06 | ↓ -70% |
| Aetna | ASA | $7.06 | ↓ -70% |
| Molina Healthcare | HIX | $7.53 | ↓ -68% |
| United | GlobalBenefitPlan | $10.59 | ↓ -55% |
| Prime Health Sheriff | COMM | $11.77 | ↓ -50% |
| Plotkin Health | COMM | $11.77 | ↓ -50% |
| AvMed | HIXOON | $11.77 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $11.77 | ↓ -50% |
| Corizon PHS | Prison | $14.12 | ↓ -40% |
| Multiplan | Primary | $18.36 | ↓ -22% |
| Evernorth | BHCOMM | $18.83 | ↓ -20% |
| Multiplan | Complementary | $20.01 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $20.01 | ↓ -15% |
| PPO Next | PPO | $20.01 | ↓ -15% |
| PPO Next | COMM | $20.01 | ↓ -15% |
| NovaNet | COMM | $21.19 | ↓ -10% |
| Beacon Health Options | MCR | $23.54 | ↑ +0% |
| CorVel Corporation | WORKERSCOMP | $78.10 | ↑ +232% |
| Prime Health | WC | $79.74 | ↑ +239% |
| Careworks (Rockport Community) | WORKERSCOMP | $82.21 | ↑ +249% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Ghs phenylketonurid at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $23.29 | $5.22 – $9.18 |
| Adventhealth Tampa | Tampa | $82.09 | $5.50 – $12.21 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $26.00 | $4.40 – $75.49 |
| Adventhealth Port Charlotte | Port Charlotte | $19.25 | $5.50 – $10.04 |
| cleveland clinic florida weston hospital | Weston | $92.95 | $2.59 – $121.55 |
| martin north hospital | Stuart | $183.30 | $2.73 – $107.25 |
| indian river hospital | Vero Beach | $8.45 | $2.59 – $10.40 |
| Boca Raton Regional Hospital | BOCA RATON | $18.20 | $5.50 – $18.28 |