Photopheresis at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$19,000.00
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.
$19,000.00
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.
$2,250.00 with Simply vs $35,535.00 with Cigna — 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 |
|---|---|---|---|
| Simply | MGMCR | $2,250.00 | ↓ -88% |
| CorVel Corporation | WORKERSCOMP | $2,676.78 | ↓ -86% |
| Prime Health | WC | $2,733.13 | ↓ -86% |
| Careworks (Rockport Community) | WORKERSCOMP | $2,817.66 | ↓ -85% |
| United | OptionsPPO | $2,850.00 | ↓ -85% |
| Molina Healthcare | HIX | $3,242.00 | ↓ -83% |
| Molina Healthcare | MGMCR | $3,950.00 | ↓ -79% |
| Evolutions | TieredNetwork | $4,121.00 | ↓ -78% |
| Aetna | ASA | $5,700.00 | ↓ -70% |
| AvMed | HIX | $7,042.00 | ↓ -63% |
| Simply Healthcare | HIX | $7,432.00 | ↓ -61% |
| Oscar | HIX | $8,062.00 | ↓ -58% |
| United | GlobalBenefitPlan | $8,550.00 | ↓ -55% |
| Prime Health Sheriff | COMM | $9,500.00 | ↓ -50% |
| AvMed | HIXOON | $9,500.00 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $9,500.00 | ↓ -50% |
| Plotkin Health | COMM | $9,500.00 | ↓ -50% |
| Corizon PHS | Prison | $11,400.00 | ↓ -40% |
| Ultimate Health Plan | MCR | $12,500.00 | ↓ -34% |
| BCBS | PHS | $13,437.00 | ↓ -29% |
| United | AllPayerAppendix | $13,990.00 | ↓ -26% |
| AvMed | HMOFI | $14,644.00 | ↓ -23% |
| Multiplan | Primary | $14,820.00 | ↓ -22% |
| Cigna | NBN | $14,857.00 | ↓ -22% |
| Evernorth | BHCOMM | $15,200.00 | ↓ -20% |
| PPO Next | PPO | $16,150.00 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $16,150.00 | ↓ -15% |
| Multiplan | Complementary | $16,150.00 | ↓ -15% |
| PPO Next | COMM | $16,150.00 | ↓ -15% |
| AvMed | ASOEO | $16,238.00 | ↓ -15% |
| NovaNet | COMM | $17,100.00 | ↓ -10% |
| BCBS | SBN | $18,340.00 | ↓ -3% |
| BCBS | BSL | $18,340.00 | ↓ -3% |
| BCBS | MBN | $18,340.00 | ↓ -3% |
| Beacon Health Options | MCR | $19,000.00 | ↑ +0% |
| BCBS | HMO | $21,661.00 | ↑ +14% |
| BCBS | NWB | $27,429.00 | ↑ +44% |
| BCBS | PPO | $27,429.00 | ↑ +44% |
| Cigna | PPO | $35,535.00 | ↑ +87% |
| Cigna | ManagedCareHMO | $35,535.00 | ↑ +87% |
| Capital Health Plan | HMO | not published by hospital | — |
| Capital Health Plan | HIX | not published by hospital | — |
Visitor-reported prices
Comments
Photopheresis at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth New Smyrna Beach | New Smyrna Beach | $15,636.17 | not published |
| martin north hospital | Stuart | $21,888.75 | $78.45 – $16,837.50 |
| Baptist Hospital | MIAMI | $17,522.70 | $173.17 – $24,262.20 |
| AdventHealth Orlando | Orlando | $20,964.00 | $4,548.36 – $12,053.15 |
| Adventhealth Carrollwood | Tampa | $49,884.93 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,533.88 – $2,587.22 |
| cleveland clinic florida weston hospital | Weston | not published | $2,646.54 – $5,003.20 |
| indian river hospital | Vero Beach | not published | $2,646.54 – $5,003.20 |