Nm imaging hepatobiliary system w/pharmacologic intervention at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$9,977.28
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.
$9,977.28
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.
$1,101.15 with United vs $9,977.28 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 | $1,101.15 | ↓ -89% |
| AvMed | HIX | $1,197.27 | ↓ -88% |
| United | OptionsPPO | $1,496.59 | ↓ -85% |
| Simply | MGMCR | $1,536.50 | ↓ -85% |
| CorVel Corporation | WORKERSCOMP | $1,739.55 | ↓ -83% |
| Prime Health | WC | $1,776.18 | ↓ -82% |
| Careworks (Rockport Community) | WORKERSCOMP | $1,831.11 | ↓ -82% |
| Molina Healthcare | MGMCR | $1,895.68 | ↓ -81% |
| Humana | PPO | $1,995.46 | ↓ -80% |
| Humana | HMO | $1,995.46 | ↓ -80% |
| Evolutions | TieredNetwork | $2,294.77 | ↓ -77% |
| AvMed | HMOFI | $2,494.32 | ↓ -75% |
| Sunshine State Health Plan | QHP | $2,544.21 | ↓ -74% |
| AvMed | ASOEO | $2,993.18 | ↓ -70% |
| Aetna | ASA | $2,993.18 | ↓ -70% |
| Molina Healthcare | HIX | $3,192.73 | ↓ -68% |
| United | GlobalBenefitPlan | $4,489.78 | ↓ -55% |
| Prime Health Sheriff | COMM | $4,988.64 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $4,988.64 | ↓ -50% |
| Plotkin Health | COMM | $4,988.64 | ↓ -50% |
| AvMed | HIXOON | $4,988.64 | ↓ -50% |
| Corizon PHS | Prison | $5,986.37 | ↓ -40% |
| Multiplan | Primary | $7,782.28 | ↓ -22% |
| Evernorth | BHCOMM | $7,981.82 | ↓ -20% |
| Multiplan | Complementary | $8,480.69 | ↓ -15% |
| PPO Next | COMM | $8,480.69 | ↓ -15% |
| PPO Next | PPO | $8,480.69 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $8,480.69 | ↓ -15% |
| NovaNet | COMM | $8,979.55 | ↓ -10% |
| Beacon Health Options | MCR | $9,977.28 | ↑ +0% |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging hepatobiliary system w/pharmacologic intervention at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,203.02 | $538.66 – $946.34 |
| Adventhealth Lake Wales | Lake Wales | $3,484.26 | $504.57 – $1,258.77 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,275.05 | $538.66 – $1,211.08 |
| Adventhealth Tampa | Tampa | $4,656.91 | $497.56 – $1,258.77 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,765.34 | $538.66 – $1,238.64 |
| Adventhealth Port Charlotte | Port Charlotte | $3,665.85 | $519.99 – $1,035.36 |
| cleveland clinic florida weston hospital | Weston | $3,275.35 | $35.78 – $3,946.55 |
| martin north hospital | Stuart | $3,275.35 | $32.02 – $2,321.50 |