Lev 4 hosp type b ed visit at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$9,417.73
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.
$9,417.73
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.
$960.00 with Molina Healthcare vs $11,053.00 with Cigna — 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 |
|---|---|---|---|
| Molina Healthcare | HIX | $960.00 | ↓ -90% |
| CorVel Corporation | WORKERSCOMP | $1,311.51 | ↓ -86% |
| Prime Health | WC | $1,339.12 | ↓ -86% |
| Careworks (Rockport Community) | WORKERSCOMP | $1,380.54 | ↓ -85% |
| United | OptionsPPO | $1,412.66 | ↓ -85% |
| Sunshine State Health Plan | QHP | $1,507.00 | ↓ -84% |
| United | AllPayerAppendix | $1,726.00 | ↓ -82% |
| Simply Healthcare | HIX | $1,870.00 | ↓ -80% |
| Capital Health Plan | HIX | $1,905.00 | ↓ -80% |
| BCBS | MBN | $2,134.00 | ↓ -77% |
| BCBS | BSL | $2,134.00 | ↓ -77% |
| BCBS | SBN | $2,134.00 | ↓ -77% |
| Evolutions | TieredNetwork | $2,315.00 | ↓ -75% |
| Capital Health Plan | HMO | $2,364.00 | ↓ -75% |
| Oscar | HIX | $2,640.00 | ↓ -72% |
| BCBS | HMO | $2,653.00 | ↓ -72% |
| Aetna | ASA | $2,825.32 | ↓ -70% |
| BCBS | NWB | $3,055.00 | ↓ -68% |
| BCBS | PPO | $3,055.00 | ↓ -68% |
| AvMed | HIX | $3,674.00 | ↓ -61% |
| United | GlobalBenefitPlan | $4,237.98 | ↓ -55% |
| Cigna | NBN | $4,622.00 | ↓ -51% |
| Prime Health Sheriff | COMM | $4,708.86 | ↓ -50% |
| AvMed | HIXOON | $4,708.86 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $4,708.86 | ↓ -50% |
| Plotkin Health | COMM | $4,708.86 | ↓ -50% |
| BCBS | PHS | $4,756.00 | ↓ -49% |
| Corizon PHS | Prison | $5,650.64 | ↓ -40% |
| Multiplan | Primary | $7,345.83 | ↓ -22% |
| AvMed | HMOFI | $7,642.00 | ↓ -19% |
| Evolutions Healthcare | TRADITIONALPPO | $8,005.07 | ↓ -15% |
| PPO Next | PPO | $8,005.07 | ↓ -15% |
| PPO Next | COMM | $8,005.07 | ↓ -15% |
| Multiplan | Complementary | $8,005.07 | ↓ -15% |
| AvMed | ASOEO | $8,474.00 | ↓ -10% |
| NovaNet | COMM | $8,475.96 | ↓ -10% |
| Cigna | ManagedCareHMO | $11,053.00 | ↑ +17% |
| Cigna | PPO | $11,053.00 | ↑ +17% |
Visitor-reported prices
Comments
Lev 4 hosp type b ed visit at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $3,509.67 | $1,260.29 – $1,286.82 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | $4,611.82 | $1,172.71 – $1,197.40 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $5,833.29 | $1,260.29 – $1,286.82 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $1,457.00 | $1,364.82 – $1,393.55 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE | $4,130.50 | $1,260.29 – $1,286.82 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY | $3,832.99 | $1,260.29 – $1,286.82 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD | $4,955.33 | $1,184.13 – $1,246.45 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie | $5,745.00 | $1,393.55 – $1,393.55 |