Nuclear rx intra-articular at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$993.28
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.
$993.28
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.
$119.19 with AvMed vs $993.28 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 |
|---|---|---|---|
| AvMed | HIX | $119.19 | ↓ -88% |
| United | OptionsPPO | $148.99 | ↓ -85% |
| Simply | MGMCR | $152.97 | ↓ -85% |
| Molina Healthcare | MGMCR | $188.72 | ↓ -81% |
| Humana | PPO | $198.66 | ↓ -80% |
| Humana | HMO | $198.66 | ↓ -80% |
| Evolutions | TieredNetwork | $228.45 | ↓ -77% |
| AvMed | HMOFI | $248.32 | ↓ -75% |
| Sunshine State Health Plan | QHP | $253.29 | ↓ -74% |
| AvMed | ASOEO | $297.98 | ↓ -70% |
| Aetna | ASA | $297.98 | ↓ -70% |
| Molina Healthcare | HIX | $317.85 | ↓ -68% |
| CorVel Corporation | WORKERSCOMP | $418.91 | ↓ -58% |
| Prime Health | WC | $427.73 | ↓ -57% |
| Careworks (Rockport Community) | WORKERSCOMP | $440.96 | ↓ -56% |
| United | GlobalBenefitPlan | $446.98 | ↓ -55% |
| Plotkin Health | COMM | $496.64 | ↓ -50% |
| AvMed | HIXOON | $496.64 | ↓ -50% |
| Prime Health Sheriff | COMM | $496.64 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $496.64 | ↓ -50% |
| United | AllPayerAppendix | $561.65 | ↓ -43% |
| Corizon PHS | Prison | $595.97 | ↓ -40% |
| Multiplan | Primary | $774.76 | ↓ -22% |
| Evernorth | BHCOMM | $794.62 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $844.29 | ↓ -15% |
| Multiplan | Complementary | $844.29 | ↓ -15% |
| PPO Next | PPO | $844.29 | ↓ -15% |
| PPO Next | COMM | $844.29 | ↓ -15% |
| NovaNet | COMM | $893.95 | ↓ -10% |
| Beacon Health Options | MCR | $993.28 | ↑ +0% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Nuclear rx intra-articular at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | not published | $231.48 – $626.39 |
| Adventhealth Lake Wales | Lake Wales | not published | $243.67 – $540.94 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $231.48 – $851.71 |
| Adventhealth Tampa | Tampa | not published | $243.67 – $540.94 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $231.48 – $817.91 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $396.55 – $561.65 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $243.67 – $497.81 |
| cleveland clinic florida weston hospital | Weston | not published | $125.49 – $268.03 |