Other immunoelectrophoresis at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$5.37
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.
$5.37
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.
$0.64 with AvMed vs $96.09 with Careworks (Rockport Community) — 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 | $0.64 | ↓ -88% |
| United | OptionsPPO | $0.81 | ↓ -85% |
| Simply | MGMCR | $0.83 | ↓ -85% |
| Molina Healthcare | MGMCR | $1.02 | ↓ -81% |
| Humana | PPO | $1.07 | ↓ -80% |
| Humana | HMO | $1.07 | ↓ -80% |
| Evolutions | TieredNetwork | $1.24 | ↓ -77% |
| AvMed | HMOFI | $1.34 | ↓ -75% |
| Sunshine State Health Plan | QHP | $1.37 | ↓ -74% |
| AvMed | ASOEO | $1.61 | ↓ -70% |
| Aetna | ASA | $1.61 | ↓ -70% |
| Molina Healthcare | HIX | $1.72 | ↓ -68% |
| United | GlobalBenefitPlan | $2.42 | ↓ -55% |
| AvMed | HIXOON | $2.69 | ↓ -50% |
| Plotkin Health | COMM | $2.69 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $2.69 | ↓ -50% |
| Prime Health Sheriff | COMM | $2.69 | ↓ -50% |
| Corizon PHS | Prison | $3.22 | ↓ -40% |
| Multiplan | Primary | $4.19 | ↓ -22% |
| Evernorth | BHCOMM | $4.30 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $4.56 | ↓ -15% |
| PPO Next | COMM | $4.56 | ↓ -15% |
| Multiplan | Complementary | $4.56 | ↓ -15% |
| PPO Next | PPO | $4.56 | ↓ -15% |
| NovaNet | COMM | $4.83 | ↓ -10% |
| Beacon Health Options | MCR | $5.37 | ↑ +0% |
| Hospice of North Central FL | FEDERAL | $20.82 | ↑ +288% |
| Hospice of North Central FL | MCR | $20.82 | ↑ +288% |
| Hospice of North Central FL | MCD | $20.82 | ↑ +288% |
| Humana | TRICARE | $20.96 | ↑ +290% |
| United Behavioral Health | VACCN | $23.13 | ↑ +331% |
| Humana | MGMCRHMO | $23.13 | ↑ +331% |
| Humana | MGMCRPPO | $23.13 | ↑ +331% |
| United | VACCN | $23.13 | ↑ +331% |
| United | AllPayerAppendix | $23.13 | ↑ +331% |
| NDMS Definitive Care | MGMCR | $23.13 | ↑ +331% |
| Wellmed | MGMCR | $23.13 | ↑ +331% |
| United | MCR | $23.59 | ↑ +339% |
| BCBS | MCRPPO | $23.59 | ↑ +339% |
| BCBS | MCRHMO | $23.59 | ↑ +339% |
| Capital Health Plan | MCRHMO | $23.59 | ↑ +339% |
| Aetna | MCR | $23.71 | ↑ +342% |
| WellCare | MCR | $24.29 | ↑ +352% |
| Sunshine State | MCR | $24.29 | ↑ +352% |
| American Health Plan | MCR | $24.52 | ↑ +357% |
| Align Senior Care | MGMCR | $24.75 | ↑ +361% |
| Cigna Healthspring | MCR | $24.75 | ↑ +361% |
| Florida Complete Care | MCR | $24.75 | ↑ +361% |
| Gold Kidney of Florida | MCR | $25.21 | ↑ +369% |
| Clear Spring Health | MCR | $25.44 | ↑ +374% |
| Centurion | GVT | $25.44 | ↑ +374% |
| Ultimate Health Plan | MCR | $26.60 | ↑ +395% |
| Longevity Health Plan | MCR | $27.76 | ↑ +417% |
| Oscar | HIX | $28.22 | ↑ +426% |
| Simply Healthcare | HIX | $28.91 | ↑ +438% |
| CorVel Corporation | WORKERSCOMP | $91.29 | ↑ +1600% |
| Prime Health | WC | $93.21 | ↑ +1636% |
| Careworks (Rockport Community) | WORKERSCOMP | $96.09 | ↑ +1689% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Other immunoelectrophoresis at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $84.60 | $23.13 – $86.64 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $228.26 | $23.13 – $86.64 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $336.02 | $23.13 – $86.64 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $35.00 | $20.96 – $91.11 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring | $17.17 | $23.13 – $80.97 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY | $20.95 | $20.96 – $84.74 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | $227.00 | $22.90 – $96.20 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $305.00 | $22.90 – $97.00 |