Human epididymis protein 4 (he4) at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$218.14
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.
$218.14
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.
$18.73 with Hospice of North Central FL vs $218.14 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 |
|---|---|---|---|
| Hospice of North Central FL | MCD | $18.73 | ↓ -91% |
| Hospice of North Central FL | MCR | $18.73 | ↓ -91% |
| Hospice of North Central FL | FEDERAL | $18.73 | ↓ -91% |
| Humana | TRICARE | $18.86 | ↓ -91% |
| United | AllPayerAppendix | $20.81 | ↓ -90% |
| United | VACCN | $20.81 | ↓ -90% |
| NDMS Definitive Care | MGMCR | $20.81 | ↓ -90% |
| Wellmed | MGMCR | $20.81 | ↓ -90% |
| United Behavioral Health | VACCN | $20.81 | ↓ -90% |
| Humana | MGMCRHMO | $20.81 | ↓ -90% |
| Humana | MGMCRPPO | $20.81 | ↓ -90% |
| BCBS | MCRHMO | $21.23 | ↓ -90% |
| Capital Health Plan | MCRHMO | $21.23 | ↓ -90% |
| United | MCR | $21.23 | ↓ -90% |
| BCBS | MCRPPO | $21.23 | ↓ -90% |
| Aetna | MCR | $21.33 | ↓ -90% |
| Sunshine State | MCR | $21.85 | ↓ -90% |
| WellCare | MCR | $21.85 | ↓ -90% |
| American Health Plan | MCR | $22.06 | ↓ -90% |
| Align Senior Care | MGMCR | $22.27 | ↓ -90% |
| Cigna Healthspring | MCR | $22.27 | ↓ -90% |
| Florida Complete Care | MCR | $22.27 | ↓ -90% |
| Gold Kidney of Florida | MCR | $22.68 | ↓ -90% |
| Clear Spring Health | MCR | $22.89 | ↓ -90% |
| Centurion | GVT | $22.89 | ↓ -90% |
| Ultimate Health Plan | MCR | $23.93 | ↓ -89% |
| Longevity Health Plan | MCR | $24.97 | ↓ -89% |
| Oscar | HIX | $25.39 | ↓ -88% |
| Simply Healthcare | HIX | $26.01 | ↓ -88% |
| AvMed | HIX | $26.18 | ↓ -88% |
| United | OptionsPPO | $32.72 | ↓ -85% |
| Simply | MGMCR | $33.59 | ↓ -85% |
| Molina Healthcare | MGMCR | $41.45 | ↓ -81% |
| Humana | HMO | $43.63 | ↓ -80% |
| Humana | PPO | $43.63 | ↓ -80% |
| Evolutions | TieredNetwork | $50.17 | ↓ -77% |
| AvMed | HMOFI | $54.53 | ↓ -75% |
| Sunshine State Health Plan | QHP | $55.63 | ↓ -74% |
| AvMed | ASOEO | $65.44 | ↓ -70% |
| Aetna | ASA | $65.44 | ↓ -70% |
| Molina Healthcare | HIX | $69.80 | ↓ -68% |
| CorVel Corporation | WORKERSCOMP | $91.29 | ↓ -58% |
| Prime Health | WC | $93.21 | ↓ -57% |
| Careworks (Rockport Community) | WORKERSCOMP | $96.09 | ↓ -56% |
| United | GlobalBenefitPlan | $98.16 | ↓ -55% |
| Prime Health Sheriff | COMM | $109.07 | ↓ -50% |
| AvMed | HIXOON | $109.07 | ↓ -50% |
| Plotkin Health | COMM | $109.07 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $109.07 | ↓ -50% |
| Corizon PHS | Prison | $130.88 | ↓ -40% |
| Multiplan | Primary | $170.15 | ↓ -22% |
| Evernorth | BHCOMM | $174.51 | ↓ -20% |
| PPO Next | PPO | $185.42 | ↓ -15% |
| PPO Next | COMM | $185.42 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $185.42 | ↓ -15% |
| Multiplan | Complementary | $185.42 | ↓ -15% |
| NovaNet | COMM | $196.33 | ↓ -10% |
| Beacon Health Options | MCR | $218.14 | ↑ +0% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Human epididymis protein 4 (he4) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $267.04 | $19.77 – $34.73 |
| Adventhealth Palm Coast Parkway | Palm Coast | $287.58 | $19.77 – $44.45 |
| Adventhealth Tampa | Tampa | $280.52 | $20.81 – $46.20 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $162.35 | $19.77 – $45.46 |
| Adventhealth Port Charlotte | Port Charlotte | $139.13 | $20.81 – $38.00 |
| cleveland clinic florida weston hospital | Weston | $402.35 | $5.23 – $526.15 |
| martin north hospital | Stuart | $402.35 | $5.50 – $464.25 |
| indian river hospital | Vero Beach | $402.35 | $5.23 – $495.20 |