Immunology procedure at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$35.95
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.
$35.95
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.
$2.37 with BCBS vs $15,000.00 with American Health Plan — 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 |
|---|---|---|---|
| BCBS | MCRPPO | $2.37 | ↓ -93% |
| BCBS | MCRHMO | $2.38 | ↓ -93% |
| Aetna | MCR | $2.48 | ↓ -93% |
| AvMed | HIX | $4.31 | ↓ -88% |
| Oscar | HIX | $4.31 | ↓ -88% |
| Simply Healthcare | HIX | $4.57 | ↓ -87% |
| United | OptionsPPO | $5.39 | ↓ -85% |
| Simply | MGMCR | $5.54 | ↓ -85% |
| Molina Healthcare | MGMCR | $6.83 | ↓ -81% |
| Humana | PPO | $7.19 | ↓ -80% |
| Humana | HMO | $7.19 | ↓ -80% |
| Evolutions | TieredNetwork | $8.27 | ↓ -77% |
| AvMed | HMOFI | $8.99 | ↓ -75% |
| Sunshine State Health Plan | QHP | $9.17 | ↓ -74% |
| AvMed | ASOEO | $10.79 | ↓ -70% |
| Aetna | ASA | $10.79 | ↓ -70% |
| Molina Healthcare | HIX | $11.50 | ↓ -68% |
| United | GlobalBenefitPlan | $16.18 | ↓ -55% |
| AvMed | HIXOON | $17.98 | ↓ -50% |
| Plotkin Health | COMM | $17.98 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $17.98 | ↓ -50% |
| Prime Health Sheriff | COMM | $17.98 | ↓ -50% |
| Corizon PHS | Prison | $21.57 | ↓ -40% |
| Multiplan | Primary | $28.04 | ↓ -22% |
| Evernorth | BHCOMM | $28.76 | ↓ -20% |
| PPO Next | PPO | $30.56 | ↓ -15% |
| Multiplan | Complementary | $30.56 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $30.56 | ↓ -15% |
| PPO Next | COMM | $30.56 | ↓ -15% |
| NovaNet | COMM | $32.36 | ↓ -10% |
| Beacon Health Options | MCR | $35.95 | ↑ +0% |
| CorVel Corporation | WORKERSCOMP | $61.87 | ↑ +72% |
| Prime Health | WC | $63.18 | ↑ +76% |
| Careworks (Rockport Community) | WORKERSCOMP | $65.13 | ↑ +81% |
| American Health Plan | MCR | $15,000.00 | ↑ +41625% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Immunology procedure at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $172.84 | not published |
| Adventhealth Tampa | Tampa | $300.98 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $164.61 | not published |
| cleveland clinic florida weston hospital | Weston | $204.10 | $5.23 – $266.90 |
| martin north hospital | Stuart | $185.25 | $5.50 – $213.75 |
| indian river hospital | Vero Beach | $204.10 | $5.23 – $251.20 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK | $43.25 | $55.12 – $58.02 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | $271.00 | $63.86 – $65.20 |