Knee MRI (with and without contrast) 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.
$828.27 with United vs $9,824.27 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 |
|---|---|---|---|
| United | AllPayerAppendix | $828.27 | — |
| Aetna | QHP | $1,392.00 | — |
| United | OptionsPPO | $1,473.64 | — |
| Simply | MGMCR | $1,512.94 | — |
| AvMed | HIX | $1,568.00 | — |
| Aetna | HMO | $1,816.00 | — |
| Aetna | PPO | $1,816.00 | — |
| Molina Healthcare | MGMCR | $1,866.61 | — |
| Sunshine State Health Plan | QHP | $2,505.19 | — |
| Aetna | ASA | $2,947.28 | — |
| Molina Healthcare | HIX | $3,143.77 | — |
| AvMed | HMOFI | $3,266.00 | — |
| AvMed | ASOEO | $3,623.00 | — |
| United | GlobalBenefitPlan | $4,420.92 | — |
| Prime Health Sheriff | COMM | $4,912.14 | — |
| AvMed | HIXOON | $4,912.14 | — |
| Prime Health Sheriff | WORKERSCOMP | $4,912.14 | — |
| Plotkin Health | COMM | $4,912.14 | — |
| CorVel Corporation | WORKERSCOMP | $5,314.00 | — |
| Prime Health | WC | $5,425.87 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $5,593.68 | — |
| Corizon PHS | Prison | $5,894.56 | — |
| Multiplan | Primary | $7,662.93 | — |
| Evernorth | BHCOMM | $7,859.42 | — |
| Multiplan | Complementary | $8,350.63 | — |
| PPO Next | PPO | $8,350.63 | — |
| PPO Next | COMM | $8,350.63 | — |
| Evolutions Healthcare | TRADITIONALPPO | $8,350.63 | — |
| NovaNet | COMM | $8,841.84 | — |
| Beacon Health Options | MCR | $9,824.27 | — |
Visitor-reported prices
Comments
Knee MRI (with and without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $9,714.10 | $346.11 – $865.63 |
| Adventhealth Lake Wales | Lake Wales | $4,306.96 | $364.32 – $958.38 |
| Adventhealth Palm Coast Parkway | Palm Coast | $8,799.02 | $346.11 – $1,177.02 |
| Adventhealth Tampa | Tampa | $8,040.57 | $364.32 – $808.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $3,322.09 | $346.11 – $1,130.31 |
| Adventhealth Port Charlotte | Port Charlotte | $10,197.42 | $364.32 – $687.95 |
| cleveland clinic florida weston hospital | Weston | $2,616.90 | $88.92 – $2,618.00 |
| martin north hospital | Stuart | $2,002.00 | $79.56 – $1,540.00 |