Hla i low res one antigen equiv ea at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$21.09
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.
$21.09
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.
$2.53 with AvMed vs $116.91 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 | $2.53 | ↓ -88% |
| United | OptionsPPO | $3.16 | ↓ -85% |
| Simply | MGMCR | $3.25 | ↓ -85% |
| Molina Healthcare | MGMCR | $4.01 | ↓ -81% |
| Humana | PPO | $4.22 | ↓ -80% |
| Humana | HMO | $4.22 | ↓ -80% |
| Evolutions | TieredNetwork | $4.85 | ↓ -77% |
| AvMed | HMOFI | $5.27 | ↓ -75% |
| Sunshine State Health Plan | QHP | $5.38 | ↓ -74% |
| AvMed | ASOEO | $6.33 | ↓ -70% |
| Aetna | ASA | $6.33 | ↓ -70% |
| Molina Healthcare | HIX | $6.75 | ↓ -68% |
| United | GlobalBenefitPlan | $9.49 | ↓ -55% |
| AvMed | HIXOON | $10.54 | ↓ -50% |
| Plotkin Health | COMM | $10.54 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $10.54 | ↓ -50% |
| Prime Health Sheriff | COMM | $10.54 | ↓ -50% |
| Corizon PHS | Prison | $12.65 | ↓ -40% |
| Multiplan | Primary | $16.45 | ↓ -22% |
| Evernorth | BHCOMM | $16.87 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $17.93 | ↓ -15% |
| PPO Next | COMM | $17.93 | ↓ -15% |
| Multiplan | Complementary | $17.93 | ↓ -15% |
| PPO Next | PPO | $17.93 | ↓ -15% |
| NovaNet | COMM | $18.98 | ↓ -10% |
| Beacon Health Options | MCR | $21.09 | ↑ +0% |
| Hospice of North Central FL | FEDERAL | $66.90 | ↑ +217% |
| Hospice of North Central FL | MCR | $66.90 | ↑ +217% |
| Hospice of North Central FL | MCD | $66.90 | ↑ +217% |
| Humana | TRICARE | $67.37 | ↑ +219% |
| United Behavioral Health | VACCN | $74.33 | ↑ +252% |
| Humana | MGMCRHMO | $74.33 | ↑ +252% |
| Humana | MGMCRPPO | $74.33 | ↑ +252% |
| United | VACCN | $74.33 | ↑ +252% |
| United | AllPayerAppendix | $74.33 | ↑ +252% |
| NDMS Definitive Care | MGMCR | $74.33 | ↑ +252% |
| Wellmed | MGMCR | $74.33 | ↑ +252% |
| United | MCR | $75.82 | ↑ +260% |
| BCBS | MCRPPO | $75.82 | ↑ +260% |
| BCBS | MCRHMO | $75.82 | ↑ +260% |
| Capital Health Plan | MCRHMO | $75.82 | ↑ +260% |
| Aetna | MCR | $76.19 | ↑ +261% |
| WellCare | MCR | $78.05 | ↑ +270% |
| Sunshine State | MCR | $78.05 | ↑ +270% |
| American Health Plan | MCR | $78.79 | ↑ +274% |
| Align Senior Care | MGMCR | $79.53 | ↑ +277% |
| Cigna Healthspring | MCR | $79.53 | ↑ +277% |
| Florida Complete Care | MCR | $79.53 | ↑ +277% |
| Gold Kidney of Florida | MCR | $81.02 | ↑ +284% |
| Clear Spring Health | MCR | $81.76 | ↑ +288% |
| Centurion | GVT | $81.76 | ↑ +288% |
| Ultimate Health Plan | MCR | $85.48 | ↑ +305% |
| Longevity Health Plan | MCR | $89.20 | ↑ +323% |
| Oscar | HIX | $90.68 | ↑ +330% |
| Simply Healthcare | HIX | $92.91 | ↑ +341% |
| CorVel Corporation | WORKERSCOMP | $111.06 | ↑ +427% |
| Prime Health | WC | $113.40 | ↑ +438% |
| Careworks (Rockport Community) | WORKERSCOMP | $116.91 | ↑ +454% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Hla i low res one antigen equiv ea at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $225.88 | $70.61 – $124.06 |
| Adventhealth Lake Wales | Lake Wales | $434.13 | $74.33 – $165.01 |
| Adventhealth Palm Coast Parkway | Palm Coast | $225.88 | $70.61 – $158.76 |
| Adventhealth Tampa | Tampa | $1,147.28 | $74.33 – $165.01 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $215.12 | $70.61 – $162.37 |
| Adventhealth Port Charlotte | Port Charlotte | $260.16 | $74.33 – $135.73 |
| cleveland clinic florida weston hospital | Weston | $573.95 | $22.32 – $533.80 |
| martin north hospital | Stuart | $573.95 | $23.49 – $471.00 |