Inj, biorphen, 20 micrograms at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$21.37
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.
$21.37
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.
$0.16 with Humana 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 |
|---|---|---|---|
| Humana | TRICARE | $0.16 | ↓ -99% |
| United | AllPayerAppendix | $0.48 | ↓ -98% |
| BCBS | MCRHMO | $1.41 | ↓ -93% |
| BCBS | MCRPPO | $1.41 | ↓ -93% |
| Aetna | MCR | $1.47 | ↓ -93% |
| BCBS | MBN | $2.27 | ↓ -89% |
| BCBS | SBN | $2.27 | ↓ -89% |
| BCBS | BSL | $2.27 | ↓ -89% |
| BCBS | HMO | $3.03 | ↓ -86% |
| United | OptionsPPO | $3.21 | ↓ -85% |
| Simply | MGMCR | $3.29 | ↓ -85% |
| BCBS | NWB | $3.48 | ↓ -84% |
| BCBS | PPO | $3.48 | ↓ -84% |
| Evolutions | TieredNetwork | $4.92 | ↓ -77% |
| BCBS | PHS | $5.39 | ↓ -75% |
| Aetna | ASA | $6.41 | ↓ -70% |
| Molina Healthcare | HIX | $6.84 | ↓ -68% |
| United | GlobalBenefitPlan | $9.62 | ↓ -55% |
| Plotkin Health | COMM | $10.69 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $10.69 | ↓ -50% |
| Prime Health Sheriff | COMM | $10.69 | ↓ -50% |
| AvMed | HIXOON | $10.69 | ↓ -50% |
| Corizon PHS | Prison | $12.82 | ↓ -40% |
| Multiplan | Primary | $16.67 | ↓ -22% |
| Evernorth | BHCOMM | $17.10 | ↓ -20% |
| Multiplan | Complementary | $18.16 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $18.16 | ↓ -15% |
| PPO Next | PPO | $18.16 | ↓ -15% |
| PPO Next | COMM | $18.16 | ↓ -15% |
| NovaNet | COMM | $19.23 | ↓ -10% |
| Beacon Health Options | MCR | $21.37 | ↑ +0% |
| American Health Plan | MCR | $15,000.00 | ↑ +70092% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Inj, biorphen, 20 micrograms at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $19.00 | $0.18 – $0.26 |
| Boca Raton Regional Hospital | BOCA RATON | $9.75 | $5.40 – $15.00 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $34.75 | $0.17 – $0.42 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $24.93 | $0.17 – $0.34 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE | $58.00 | $0.17 – $0.26 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE | $19.80 | $0.17 – $0.34 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH | $29.70 | $0.17 – $0.34 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY | $29.83 | $0.17 – $0.34 |