Infect ag na resp virus 12-25 targets at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
not published by hospital
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.
not published by hospital
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.
$79.46 with AvMed vs $681.19 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 | $79.46 | — |
| United | OptionsPPO | $99.33 | — |
| Simply | MGMCR | $101.98 | — |
| Molina Healthcare | MGMCR | $125.81 | — |
| Humana | PPO | $132.44 | — |
| Humana | HMO | $132.44 | — |
| Evolutions | TieredNetwork | $152.30 | — |
| AvMed | HMOFI | $165.54 | — |
| Sunshine State Health Plan | QHP | $168.86 | — |
| AvMed | ASOEO | $198.65 | — |
| Aetna | ASA | $198.65 | — |
| Molina Healthcare | HIX | $211.90 | — |
| United | GlobalBenefitPlan | $297.98 | — |
| Prime Health Sheriff | WORKERSCOMP | $331.09 | — |
| Prime Health Sheriff | COMM | $331.09 | — |
| AvMed | HIXOON | $331.09 | — |
| Plotkin Health | COMM | $331.09 | — |
| Hospice of North Central FL | MCR | $375.10 | — |
| Hospice of North Central FL | FEDERAL | $375.10 | — |
| Hospice of North Central FL | MCD | $375.10 | — |
| Humana | TRICARE | $377.76 | — |
| Corizon PHS | Prison | $397.31 | — |
| United Behavioral Health | VACCN | $416.78 | — |
| Humana | MGMCRHMO | $416.78 | — |
| Humana | MGMCRPPO | $416.78 | — |
| United | VACCN | $416.78 | — |
| United | AllPayerAppendix | $416.78 | — |
| NDMS Definitive Care | MGMCR | $416.78 | — |
| Wellmed | MGMCR | $416.78 | — |
| Capital Health Plan | MCRHMO | $425.12 | — |
| United | MCR | $425.12 | — |
| BCBS | MCRHMO | $425.12 | — |
| BCBS | MCRPPO | $425.12 | — |
| Aetna | MCR | $427.20 | — |
| Sunshine State | MCR | $437.62 | — |
| WellCare | MCR | $437.62 | — |
| American Health Plan | MCR | $441.79 | — |
| Cigna Healthspring | MCR | $445.95 | — |
| Florida Complete Care | MCR | $445.95 | — |
| Align Senior Care | MGMCR | $445.95 | — |
| Gold Kidney of Florida | MCR | $454.29 | — |
| Clear Spring Health | MCR | $458.46 | — |
| Centurion | GVT | $458.46 | — |
| Ultimate Health Plan | MCR | $479.30 | — |
| Longevity Health Plan | MCR | $500.14 | — |
| Oscar | HIX | $508.47 | — |
| Multiplan | Primary | $516.50 | — |
| Simply Healthcare | HIX | $520.97 | — |
| Evernorth | BHCOMM | $529.74 | — |
| Evolutions Healthcare | TRADITIONALPPO | $562.85 | — |
| Multiplan | Complementary | $562.85 | — |
| PPO Next | COMM | $562.85 | — |
| PPO Next | PPO | $562.85 | — |
| NovaNet | COMM | $595.96 | — |
| CorVel Corporation | WORKERSCOMP | $647.13 | — |
| Prime Health | WC | $660.75 | — |
| Beacon Health Options | MCR | $662.18 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $681.19 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Infect ag na resp virus 12-25 targets at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $2,011.17 | $395.94 – $695.61 |
| Adventhealth Lake Wales | Lake Wales | $2,894.85 | $416.78 – $925.25 |
| Adventhealth Palm Coast Parkway | Palm Coast | $804.48 | $395.94 – $890.20 |
| Adventhealth Tampa | Tampa | $6,433.00 | $416.78 – $925.25 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $748.75 | $395.94 – $910.46 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $3,074.00 | $333.42 – $625.49 |
| Adventhealth Port Charlotte | Port Charlotte | $2,783.61 | $416.78 – $761.04 |
| cleveland clinic florida weston hospital | Weston | $377.00 | $92.55 – $521.00 |