Surgical pathology level 2 gross & microscopic examination 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.
$24.67 with United vs $578.65 with Beacon Health Options — 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 |
|---|---|---|---|
| United | AllPayerAppendix | $24.67 | — |
| AvMed | HIX | $69.44 | — |
| Oscar | HIX | $69.44 | — |
| Simply Healthcare | HIX | $73.49 | — |
| United | OptionsPPO | $86.80 | — |
| Simply | MGMCR | $89.11 | — |
| Molina Healthcare | MGMCR | $109.94 | — |
| Humana | HMO | $115.73 | — |
| Humana | PPO | $115.73 | — |
| Evolutions | TieredNetwork | $133.09 | — |
| AvMed | HMOFI | $144.66 | — |
| Sunshine State Health Plan | QHP | $147.56 | — |
| Aetna | ASA | $173.59 | — |
| AvMed | ASOEO | $173.59 | — |
| Molina Healthcare | HIX | $185.17 | — |
| CorVel Corporation | WORKERSCOMP | $228.22 | — |
| Prime Health | WC | $233.02 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $240.23 | — |
| United | GlobalBenefitPlan | $260.39 | — |
| AvMed | HIXOON | $289.32 | — |
| Plotkin Health | COMM | $289.32 | — |
| Prime Health Sheriff | COMM | $289.32 | — |
| Prime Health Sheriff | WORKERSCOMP | $289.32 | — |
| Corizon PHS | Prison | $347.19 | — |
| Multiplan | Primary | $451.35 | — |
| Evernorth | BHCOMM | $462.92 | — |
| PPO Next | COMM | $491.85 | — |
| Evolutions Healthcare | TRADITIONALPPO | $491.85 | — |
| Multiplan | Complementary | $491.85 | — |
| PPO Next | PPO | $491.85 | — |
| NovaNet | COMM | $520.78 | — |
| Beacon Health Options | MCR | $578.65 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $265.92 | not published |
| Adventhealth Lake Wales | Lake Wales | $113.58 | $39.00 – $86.59 |
| Adventhealth Palm Coast Parkway | Palm Coast | $215.00 | $37.05 – $83.31 |
| Adventhealth Tampa | Tampa | $688.96 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $215.00 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,213.00 | $24.67 – $220.59 |
| Adventhealth Port Charlotte | Port Charlotte | $215.00 | $39.00 – $71.22 |
| cleveland clinic florida weston hospital | Weston | $126.75 | $4.15 – $165.75 |