Surgical pathology level 4 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.
$6.64 with Oscar vs $517.83 with Careworks (Rockport Community) — 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 |
|---|---|---|---|
| Oscar | HIX | $6.64 | — |
| AvMed | HIX | $6.64 | — |
| Simply Healthcare | HIX | $7.03 | — |
| United | OptionsPPO | $8.30 | — |
| Simply | MGMCR | $8.52 | — |
| Molina Healthcare | MGMCR | $10.51 | — |
| Humana | HMO | $11.07 | — |
| Humana | PPO | $11.07 | — |
| Evolutions | TieredNetwork | $12.73 | — |
| AvMed | HMOFI | $13.83 | — |
| Sunshine State Health Plan | QHP | $14.11 | — |
| Aetna | ASA | $16.60 | — |
| AvMed | ASOEO | $16.60 | — |
| Molina Healthcare | HIX | $17.71 | — |
| United | GlobalBenefitPlan | $24.90 | — |
| AvMed | HIXOON | $27.66 | — |
| Prime Health Sheriff | WORKERSCOMP | $27.66 | — |
| Plotkin Health | COMM | $27.66 | — |
| Prime Health Sheriff | COMM | $27.66 | — |
| Corizon PHS | Prison | $33.20 | — |
| Multiplan | Primary | $43.16 | — |
| Evernorth | BHCOMM | $44.26 | — |
| Evolutions Healthcare | TRADITIONALPPO | $47.03 | — |
| PPO Next | COMM | $47.03 | — |
| Multiplan | Complementary | $47.03 | — |
| PPO Next | PPO | $47.03 | — |
| United | AllPayerAppendix | $49.76 | — |
| NovaNet | COMM | $49.80 | — |
| Beacon Health Options | MCR | $55.33 | — |
| CorVel Corporation | WORKERSCOMP | $491.94 | — |
| Prime Health | WC | $502.30 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $517.83 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $557.21 | $51.70 – $90.82 |
| Adventhealth Lake Wales | Lake Wales | $157.26 | $54.42 – $120.81 |
| Adventhealth Palm Coast Parkway | Palm Coast | $405.00 | $51.70 – $116.23 |
| Adventhealth Tampa | Tampa | $1,206.51 | $54.42 – $120.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $463.46 | $51.70 – $118.88 |
| Adventhealth Port Charlotte | Port Charlotte | $405.00 | $54.42 – $99.37 |
| indian river hospital | Vero Beach | $209.95 | $19.72 – $323.00 |
| Baptist Hospital | MIAMI | $560.30 | $15.22 – $79.20 |