M/phmtrc alys ishquant/semiq at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$766.31
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.
$766.31
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.
$91.96 with AvMed vs $766.31 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 |
|---|---|---|---|
| AvMed | HIX | $91.96 | ↓ -88% |
| Oscar | HIX | $91.96 | ↓ -88% |
| Simply Healthcare | HIX | $97.32 | ↓ -87% |
| United | OptionsPPO | $114.95 | ↓ -85% |
| Simply | MGMCR | $118.01 | ↓ -85% |
| Molina Healthcare | MGMCR | $145.60 | ↓ -81% |
| United | AllPayerAppendix | $149.16 | ↓ -81% |
| Humana | PPO | $153.26 | ↓ -80% |
| Humana | HMO | $153.26 | ↓ -80% |
| Evolutions | TieredNetwork | $176.25 | ↓ -77% |
| AvMed | HMOFI | $191.58 | ↓ -75% |
| Sunshine State Health Plan | QHP | $195.41 | ↓ -74% |
| Aetna | ASA | $229.89 | ↓ -70% |
| AvMed | ASOEO | $229.89 | ↓ -70% |
| Molina Healthcare | HIX | $245.22 | ↓ -68% |
| CorVel Corporation | WORKERSCOMP | $290.09 | ↓ -62% |
| Prime Health | WC | $296.20 | ↓ -61% |
| Careworks (Rockport Community) | WORKERSCOMP | $305.36 | ↓ -60% |
| United | GlobalBenefitPlan | $344.84 | ↓ -55% |
| AvMed | HIXOON | $383.15 | ↓ -50% |
| Plotkin Health | COMM | $383.15 | ↓ -50% |
| Prime Health Sheriff | COMM | $383.15 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $383.15 | ↓ -50% |
| Corizon PHS | Prison | $459.79 | ↓ -40% |
| Multiplan | Primary | $597.72 | ↓ -22% |
| Evernorth | BHCOMM | $613.05 | ↓ -20% |
| PPO Next | COMM | $651.36 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $651.36 | ↓ -15% |
| Multiplan | Complementary | $651.36 | ↓ -15% |
| PPO Next | PPO | $651.36 | ↓ -15% |
| NovaNet | COMM | $689.68 | ↓ -10% |
| Beacon Health Options | MCR | $766.31 | ↑ +0% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $326.82 | $169.02 – $296.94 |
| Adventhealth Lake Wales | Lake Wales | $455.16 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,202.54 | $169.02 – $380.01 |
| Adventhealth Tampa | Tampa | $1,666.44 | $177.91 – $394.97 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $745.57 | $169.02 – $388.65 |
| Adventhealth Port Charlotte | Port Charlotte | $1,101.73 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $971.10 | $37.09 – $603.00 |
| martin north hospital | Stuart | $971.10 | $15.00 – $603.00 |