Rbc count only automated at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$5.89
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.
$5.89
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.
$0.71 with AvMed vs $108.91 with Careworks (Rockport Community) — 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 |
|---|---|---|---|
| AvMed | HIX | $0.71 | ↓ -88% |
| United | OptionsPPO | $0.88 | ↓ -85% |
| Simply | MGMCR | $0.91 | ↓ -85% |
| Molina Healthcare | MGMCR | $1.12 | ↓ -81% |
| Humana | PPO | $1.18 | ↓ -80% |
| Humana | HMO | $1.18 | ↓ -80% |
| Evolutions | TieredNetwork | $1.35 | ↓ -77% |
| AvMed | HMOFI | $1.47 | ↓ -75% |
| Sunshine State Health Plan | QHP | $1.50 | ↓ -75% |
| AvMed | ASOEO | $1.77 | ↓ -70% |
| Aetna | ASA | $1.77 | ↓ -70% |
| Molina Healthcare | HIX | $1.88 | ↓ -68% |
| United | GlobalBenefitPlan | $2.65 | ↓ -55% |
| Hospice of North Central FL | FEDERAL | $2.72 | ↓ -54% |
| Hospice of North Central FL | MCR | $2.72 | ↓ -54% |
| Hospice of North Central FL | MCD | $2.72 | ↓ -54% |
| Humana | TRICARE | $2.74 | ↓ -53% |
| Prime Health Sheriff | COMM | $2.94 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $2.94 | ↓ -50% |
| AvMed | HIXOON | $2.94 | ↓ -50% |
| Plotkin Health | COMM | $2.94 | ↓ -50% |
| NDMS Definitive Care | MGMCR | $3.02 | ↓ -49% |
| Humana | MGMCRHMO | $3.02 | ↓ -49% |
| Humana | MGMCRPPO | $3.02 | ↓ -49% |
| United Behavioral Health | VACCN | $3.02 | ↓ -49% |
| United | VACCN | $3.02 | ↓ -49% |
| United | AllPayerAppendix | $3.02 | ↓ -49% |
| Wellmed | MGMCR | $3.02 | ↓ -49% |
| BCBS | MCRHMO | $3.08 | ↓ -48% |
| United | MCR | $3.08 | ↓ -48% |
| BCBS | MCRPPO | $3.08 | ↓ -48% |
| Capital Health Plan | MCRHMO | $3.08 | ↓ -48% |
| Aetna | MCR | $3.10 | ↓ -47% |
| WellCare | MCR | $3.17 | ↓ -46% |
| Sunshine State | MCR | $3.17 | ↓ -46% |
| American Health Plan | MCR | $3.20 | ↓ -46% |
| Align Senior Care | MGMCR | $3.23 | ↓ -45% |
| Florida Complete Care | MCR | $3.23 | ↓ -45% |
| Cigna Healthspring | MCR | $3.23 | ↓ -45% |
| Gold Kidney of Florida | MCR | $3.29 | ↓ -44% |
| Clear Spring Health | MCR | $3.32 | ↓ -44% |
| Centurion | GVT | $3.32 | ↓ -44% |
| Ultimate Health Plan | MCR | $3.47 | ↓ -41% |
| Corizon PHS | Prison | $3.53 | ↓ -40% |
| Longevity Health Plan | MCR | $3.62 | ↓ -39% |
| Oscar | HIX | $3.68 | ↓ -38% |
| Simply Healthcare | HIX | $3.77 | ↓ -36% |
| Multiplan | Primary | $4.59 | ↓ -22% |
| Evernorth | BHCOMM | $4.71 | ↓ -20% |
| PPO Next | PPO | $5.01 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $5.01 | ↓ -15% |
| PPO Next | COMM | $5.01 | ↓ -15% |
| Multiplan | Complementary | $5.01 | ↓ -15% |
| NovaNet | COMM | $5.30 | ↓ -10% |
| Beacon Health Options | MCR | $5.89 | ↑ +0% |
| CorVel Corporation | WORKERSCOMP | $103.46 | ↑ +1657% |
| Prime Health | WC | $105.64 | ↑ +1694% |
| Careworks (Rockport Community) | WORKERSCOMP | $108.91 | ↑ +1749% |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Rbc count only automated at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $46.61 | $3.02 – $6.70 |
| Adventhealth Port Charlotte | Port Charlotte | $20.03 | $3.02 – $5.51 |
| cleveland clinic florida weston hospital | Weston | $69.55 | $2.81 – $89.25 |
| martin north hospital | Stuart | $69.55 | $2.96 – $78.75 |
| indian river hospital | Vero Beach | $68.25 | $2.81 – $84.00 |
| Boca Raton Regional Hospital | BOCA RATON | $24.70 | $3.02 – $24.81 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $15.00 | $2.87 – $104.99 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $4.47 | $2.66 – $7.55 |