Pr moderate sedation same physician >= 5 years initial 15 minutes at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
not published by hospital
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.
not published by hospital
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.
$13.30 with CorVel Corporation vs $15,000.00 with American Health Plan — 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 | $13.30 | — |
| Prime Health | WC | $13.58 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $14.00 | — |
| BCBS | MCRPPO | $380.50 | — |
| BCBS | MCRHMO | $381.66 | — |
| Aetna | MCR | $397.80 | — |
| BCBS | MBN | $611.11 | — |
| BCBS | SBN | $611.11 | — |
| BCBS | BSL | $611.11 | — |
| AvMed | HIX | $691.83 | — |
| Oscar | HIX | $691.83 | — |
| Simply Healthcare | HIX | $732.18 | — |
| BCBS | HMO | $818.66 | — |
| Aetna | QHP | $841.72 | — |
| United | OptionsPPO | $864.78 | — |
| Simply | MGMCR | $887.84 | — |
| BCBS | NWB | $939.73 | — |
| BCBS | PPO | $939.73 | — |
| Cigna | NBN | $1,003.15 | — |
| Aetna | PPO | $1,031.97 | — |
| Aetna | HMO | $1,031.97 | — |
| Molina Healthcare | MGMCR | $1,095.39 | — |
| Humana | HMO | $1,153.04 | — |
| Humana | PPO | $1,153.04 | — |
| Evolutions | TieredNetwork | $1,326.00 | — |
| AvMed | HMOFI | $1,441.30 | — |
| BCBS | PHS | $1,452.83 | — |
| Sunshine State Health Plan | QHP | $1,470.13 | — |
| Aetna | ASA | $1,729.56 | — |
| AvMed | ASOEO | $1,729.56 | — |
| Molina Healthcare | HIX | $1,844.87 | — |
| Cigna | ManagedCareHMO | $2,398.33 | — |
| Cigna | PPO | $2,398.33 | — |
| United | GlobalBenefitPlan | $2,594.34 | — |
| Plotkin Health | COMM | $2,882.61 | — |
| Prime Health Sheriff | COMM | $2,882.61 | — |
| Prime Health Sheriff | WORKERSCOMP | $2,882.61 | — |
| AvMed | HIXOON | $2,882.61 | — |
| Corizon PHS | Prison | $3,459.13 | — |
| Multiplan | Primary | $4,496.86 | — |
| Evernorth | BHCOMM | $4,612.17 | — |
| Evolutions Healthcare | TRADITIONALPPO | $4,900.43 | — |
| Multiplan | Complementary | $4,900.43 | — |
| PPO Next | PPO | $4,900.43 | — |
| PPO Next | COMM | $4,900.43 | — |
| NovaNet | COMM | $5,188.69 | — |
| Beacon Health Options | MCR | $5,765.21 | — |
| American Health Plan | MCR | $15,000.00 | — |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $343.56 | not published |
| Adventhealth Lake Wales | Lake Wales | $1,714.51 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $365.85 | not published |
| Adventhealth Tampa | Tampa | $1,210.15 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $533.57 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $609.22 | not published |
| cleveland clinic florida weston hospital | Weston | $569.40 | $9.60 – $744.60 |
| martin north hospital | Stuart | $569.40 | $11.91 – $438.00 |