_propoxygc/msur at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$15.00
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.
?
What you pay up front if you don't use insurance.
$15.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.99 with BCBS vs $15,000.00 with American Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BCBS | MCRPPO | $0.99 | ↓ -93% |
| BCBS | MCRHMO | $0.99 | ↓ -93% |
| Aetna | MCR | $1.03 | ↓ -93% |
| AvMed | HIX | $1.80 | ↓ -88% |
| Oscar | HIX | $1.80 | ↓ -88% |
| Simply Healthcare | HIX | $1.91 | ↓ -87% |
| United | OptionsPPO | $2.25 | ↓ -85% |
| Simply | MGMCR | $2.31 | ↓ -85% |
| Molina Healthcare | MGMCR | $2.85 | ↓ -81% |
| Humana | PPO | $3.00 | ↓ -80% |
| Humana | HMO | $3.00 | ↓ -80% |
| Evolutions | TieredNetwork | $3.45 | ↓ -77% |
| AvMed | HMOFI | $3.75 | ↓ -75% |
| Sunshine State Health Plan | QHP | $3.83 | ↓ -74% |
| AvMed | ASOEO | $4.50 | ↓ -70% |
| Aetna | ASA | $4.50 | ↓ -70% |
| Molina Healthcare | HIX | $4.80 | ↓ -68% |
| United | GlobalBenefitPlan | $6.75 | ↓ -55% |
| AvMed | HIXOON | $7.50 | ↓ -50% |
| Plotkin Health | COMM | $7.50 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $7.50 | ↓ -50% |
| Prime Health Sheriff | COMM | $7.50 | ↓ -50% |
| Corizon PHS | Prison | $9.00 | ↓ -40% |
| Multiplan | Primary | $11.70 | ↓ -22% |
| Evernorth | BHCOMM | $12.00 | ↓ -20% |
| PPO Next | PPO | $12.75 | ↓ -15% |
| Multiplan | Complementary | $12.75 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $12.75 | ↓ -15% |
| PPO Next | COMM | $12.75 | ↓ -15% |
| NovaNet | COMM | $13.50 | ↓ -10% |
| Beacon Health Options | MCR | $15.00 | ↑ +0% |
| CorVel Corporation | WORKERSCOMP | $140.99 | ↑ +840% |
| Prime Health | WC | $143.96 | ↑ +860% |
| Careworks (Rockport Community) | WORKERSCOMP | $148.41 | ↑ +889% |
| American Health Plan | MCR | $15,000.00 | ↑ +99900% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
_propoxygc/msur at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $150.92 | not published |
| Adventhealth Tampa | Tampa | $48.13 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $83.48 | not published |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE | $110.49 | $134.92 – $142.02 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring | $12.36 | $125.04 – $125.04 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY | $200.00 | $124.34 – $130.88 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | $652.00 | $145.52 – $148.58 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION | $456.00 | $146.72 – $149.81 |