Hla class i high defin qual at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$470.88
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.
$470.88
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.
$56.51 with AvMed vs $470.88 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 | $56.51 | ↓ -88% |
| CorVel Corporation | WORKERSCOMP | $61.87 | ↓ -87% |
| Prime Health | WC | $63.18 | ↓ -87% |
| Careworks (Rockport Community) | WORKERSCOMP | $65.13 | ↓ -86% |
| United | OptionsPPO | $70.63 | ↓ -85% |
| Simply | MGMCR | $72.52 | ↓ -85% |
| Molina Healthcare | MGMCR | $89.47 | ↓ -81% |
| Humana | HMO | $94.18 | ↓ -80% |
| Humana | PPO | $94.18 | ↓ -80% |
| Evolutions | TieredNetwork | $108.30 | ↓ -77% |
| AvMed | HMOFI | $117.72 | ↓ -75% |
| Sunshine State Health Plan | QHP | $120.07 | ↓ -75% |
| AvMed | ASOEO | $141.26 | ↓ -70% |
| Aetna | ASA | $141.26 | ↓ -70% |
| Molina Healthcare | HIX | $150.68 | ↓ -68% |
| United | GlobalBenefitPlan | $211.90 | ↓ -55% |
| Prime Health Sheriff | COMM | $235.44 | ↓ -50% |
| Plotkin Health | COMM | $235.44 | ↓ -50% |
| AvMed | HIXOON | $235.44 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $235.44 | ↓ -50% |
| Corizon PHS | Prison | $282.53 | ↓ -40% |
| Hospice of North Central FL | FEDERAL | $291.38 | ↓ -38% |
| Hospice of North Central FL | MCD | $291.38 | ↓ -38% |
| Hospice of North Central FL | MCR | $291.38 | ↓ -38% |
| Humana | TRICARE | $293.43 | ↓ -38% |
| Wellmed | MGMCR | $323.75 | ↓ -31% |
| Humana | MGMCRHMO | $323.75 | ↓ -31% |
| Humana | MGMCRPPO | $323.75 | ↓ -31% |
| United Behavioral Health | VACCN | $323.75 | ↓ -31% |
| United | VACCN | $323.75 | ↓ -31% |
| United | AllPayerAppendix | $323.75 | ↓ -31% |
| NDMS Definitive Care | MGMCR | $323.75 | ↓ -31% |
| BCBS | MCRPPO | $330.23 | ↓ -30% |
| United | MCR | $330.23 | ↓ -30% |
| Capital Health Plan | MCRHMO | $330.23 | ↓ -30% |
| BCBS | MCRHMO | $330.23 | ↓ -30% |
| Aetna | MCR | $331.84 | ↓ -30% |
| WellCare | MCR | $339.94 | ↓ -28% |
| Sunshine State | MCR | $339.94 | ↓ -28% |
| American Health Plan | MCR | $343.18 | ↓ -27% |
| Cigna Healthspring | MCR | $346.41 | ↓ -26% |
| Florida Complete Care | MCR | $346.41 | ↓ -26% |
| Align Senior Care | MGMCR | $346.41 | ↓ -26% |
| Gold Kidney of Florida | MCR | $352.89 | ↓ -25% |
| Centurion | GVT | $356.13 | ↓ -24% |
| Clear Spring Health | MCR | $356.13 | ↓ -24% |
| Multiplan | Primary | $367.29 | ↓ -22% |
| Ultimate Health Plan | MCR | $372.31 | ↓ -21% |
| Evernorth | BHCOMM | $376.70 | ↓ -20% |
| Longevity Health Plan | MCR | $388.50 | ↓ -17% |
| Oscar | HIX | $394.97 | ↓ -16% |
| Multiplan | Complementary | $400.25 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $400.25 | ↓ -15% |
| PPO Next | PPO | $400.25 | ↓ -15% |
| PPO Next | COMM | $400.25 | ↓ -15% |
| Simply Healthcare | HIX | $404.69 | ↓ -14% |
| NovaNet | COMM | $423.79 | ↓ -10% |
| Beacon Health Options | MCR | $470.88 | ↑ +0% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Hla class i high defin qual at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $2,613.59 | $307.56 – $540.34 |
| Adventhealth Lake Wales | Lake Wales | $5,313.33 | $323.75 – $718.72 |
| Adventhealth Palm Coast Parkway | Palm Coast | $2,814.63 | $307.56 – $691.50 |
| Adventhealth Tampa | Tampa | $4,997.09 | $323.75 – $718.72 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,133.54 | $307.56 – $707.23 |
| Adventhealth Port Charlotte | Port Charlotte | $1,133.13 | $323.75 – $591.17 |
| cleveland clinic florida weston hospital | Weston | $631.15 | $81.35 – $360.00 |
| martin north hospital | Stuart | $631.15 | $85.63 – $360.00 |