Manipulation chest wall initial demonstration/evaluation at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$312.00
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.
$312.00
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.
$25.65 with CorVel Corporation vs $312.00 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $25.65 | ↓ -92% |
| Prime Health | WC | $26.19 | ↓ -92% |
| Careworks (Rockport Community) | WORKERSCOMP | $27.00 | ↓ -91% |
| BCBS | BSL | $33.07 | ↓ -89% |
| BCBS | SBN | $33.07 | ↓ -89% |
| BCBS | MBN | $33.07 | ↓ -89% |
| AvMed | HIX | $37.44 | ↓ -88% |
| Oscar | HIX | $37.44 | ↓ -88% |
| Simply Healthcare | HIX | $39.62 | ↓ -87% |
| BCBS | HMO | $44.30 | ↓ -86% |
| Aetna | QHP | $45.55 | ↓ -85% |
| United | OptionsPPO | $46.80 | ↓ -85% |
| Simply | MGMCR | $48.05 | ↓ -85% |
| BCBS | NWB | $50.86 | ↓ -84% |
| BCBS | PPO | $50.86 | ↓ -84% |
| Cigna | NBN | $54.29 | ↓ -83% |
| Aetna | HMO | $55.85 | ↓ -82% |
| Aetna | PPO | $55.85 | ↓ -82% |
| Molina Healthcare | MGMCR | $59.28 | ↓ -81% |
| Humana | PPO | $62.40 | ↓ -80% |
| Humana | HMO | $62.40 | ↓ -80% |
| Evolutions | TieredNetwork | $71.76 | ↓ -77% |
| AvMed | HMOFI | $78.00 | ↓ -75% |
| BCBS | PHS | $78.62 | ↓ -75% |
| Sunshine State Health Plan | QHP | $79.56 | ↓ -75% |
| AvMed | ASOEO | $93.60 | ↓ -70% |
| Aetna | ASA | $93.60 | ↓ -70% |
| Molina Healthcare | HIX | $99.84 | ↓ -68% |
| Cigna | PPO | $129.79 | ↓ -58% |
| Cigna | ManagedCareHMO | $129.79 | ↓ -58% |
| United | GlobalBenefitPlan | $140.40 | ↓ -55% |
| Prime Health Sheriff | COMM | $156.00 | ↓ -50% |
| Plotkin Health | COMM | $156.00 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $156.00 | ↓ -50% |
| AvMed | HIXOON | $156.00 | ↓ -50% |
| Corizon PHS | Prison | $187.20 | ↓ -40% |
| Multiplan | Primary | $243.36 | ↓ -22% |
| Evernorth | BHCOMM | $249.60 | ↓ -20% |
| Multiplan | Complementary | $265.20 | ↓ -15% |
| PPO Next | PPO | $265.20 | ↓ -15% |
| PPO Next | COMM | $265.20 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $265.20 | ↓ -15% |
| NovaNet | COMM | $280.80 | ↓ -10% |
| Beacon Health Options | MCR | $312.00 | ↑ +0% |
Visitor-reported prices
Comments
Manipulation chest wall initial demonstration/evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $430.94 | $131.99 – $231.89 |
| Adventhealth Lake Wales | Lake Wales | $333.94 | $138.94 – $308.45 |
| Adventhealth Palm Coast Parkway | Palm Coast | $424.40 | $131.99 – $296.76 |
| Adventhealth Tampa | Tampa | $389.59 | $138.94 – $308.45 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $247.62 | $131.99 – $303.51 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $250.00 | $25.65 – $26.19 |
| Adventhealth Port Charlotte | Port Charlotte | $540.40 | $138.94 – $253.70 |
| cleveland clinic florida weston hospital | Weston | $481.65 | $15.75 – $629.85 |