Tc-99m mebrofenin at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$396.66
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.
$396.66
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.
$26.18 with BCBS 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 |
|---|---|---|---|
| BCBS | MCRPPO | $26.18 | ↓ -93% |
| BCBS | MCRHMO | $26.26 | ↓ -93% |
| Aetna | MCR | $27.37 | ↓ -93% |
| AvMed | HIX | $47.60 | ↓ -88% |
| Oscar | HIX | $47.60 | ↓ -88% |
| Simply Healthcare | HIX | $50.38 | ↓ -87% |
| United | OptionsPPO | $59.50 | ↓ -85% |
| Simply | MGMCR | $61.09 | ↓ -85% |
| Cigna | NBN | $69.02 | ↓ -83% |
| Molina Healthcare | MGMCR | $75.37 | ↓ -81% |
| Humana | HMO | $79.33 | ↓ -80% |
| Humana | PPO | $79.33 | ↓ -80% |
| Evolutions | TieredNetwork | $91.23 | ↓ -77% |
| AvMed | HMOFI | $99.17 | ↓ -75% |
| Sunshine State Health Plan | QHP | $101.15 | ↓ -74% |
| AvMed | ASOEO | $119.00 | ↓ -70% |
| Molina Healthcare | HIX | $126.93 | ↓ -68% |
| Cigna | PPO | $165.01 | ↓ -58% |
| Cigna | ManagedCareHMO | $165.01 | ↓ -58% |
| United | GlobalBenefitPlan | $178.50 | ↓ -55% |
| AvMed | HIXOON | $198.33 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $198.33 | ↓ -50% |
| Prime Health Sheriff | COMM | $198.33 | ↓ -50% |
| Plotkin Health | COMM | $198.33 | ↓ -50% |
| Corizon PHS | Prison | $238.00 | ↓ -40% |
| Multiplan | Primary | $309.39 | ↓ -22% |
| Evernorth | BHCOMM | $317.33 | ↓ -20% |
| Multiplan | Complementary | $337.16 | ↓ -15% |
| Evolutions Healthcare | TRADITIONALPPO | $337.16 | ↓ -15% |
| PPO Next | PPO | $337.16 | ↓ -15% |
| PPO Next | COMM | $337.16 | ↓ -15% |
| United | AllPayerAppendix | $340.38 | ↓ -14% |
| NovaNet | COMM | $356.99 | ↓ -10% |
| Beacon Health Options | MCR | $396.66 | ↑ +0% |
| American Health Plan | MCR | $15,000.00 | ↑ +3682% |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $44.20 | $10.42 – $1,390.00 |
| martin north hospital | Stuart | $44.20 | $12.90 – $649.00 |
| indian river hospital | Vero Beach | $44.20 | $14.57 – $1,575.00 |
| Baptist Hospital | MIAMI | $167.70 | $44.63 – $232.20 |
| Bethesda Hospital East | BOYNTON BEACH | $167.70 | $51.86 – $258.00 |
| Boca Raton Regional Hospital | BOCA RATON | $115.05 | $63.72 – $177.00 |
| Doctors Hospital | CORAL GABLES | $167.70 | $45.15 – $232.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $167.70 | $44.89 – $232.20 |