Tissue culture tumor at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$136.08
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.
$136.08
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.
$16.33 with AvMed vs $184.40 with Simply Healthcare — 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 |
|---|---|---|---|
| AvMed | HIX | $16.33 | ↓ -88% |
| United | OptionsPPO | $20.41 | ↓ -85% |
| Simply | MGMCR | $20.96 | ↓ -85% |
| Molina Healthcare | MGMCR | $25.86 | ↓ -81% |
| Humana | PPO | $27.22 | ↓ -80% |
| Humana | HMO | $27.22 | ↓ -80% |
| Evolutions | TieredNetwork | $31.30 | ↓ -77% |
| AvMed | HMOFI | $34.02 | ↓ -75% |
| Sunshine State Health Plan | QHP | $34.70 | ↓ -75% |
| Aetna | ASA | $40.82 | ↓ -70% |
| AvMed | ASOEO | $40.82 | ↓ -70% |
| Molina Healthcare | HIX | $43.55 | ↓ -68% |
| United | GlobalBenefitPlan | $61.24 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $68.04 | ↓ -50% |
| AvMed | HIXOON | $68.04 | ↓ -50% |
| Prime Health Sheriff | COMM | $68.04 | ↓ -50% |
| Plotkin Health | COMM | $68.04 | ↓ -50% |
| Corizon PHS | Prison | $81.65 | ↓ -40% |
| Multiplan | Primary | $106.14 | ↓ -22% |
| Evernorth | BHCOMM | $108.86 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $115.67 | ↓ -15% |
| Multiplan | Complementary | $115.67 | ↓ -15% |
| PPO Next | PPO | $115.67 | ↓ -15% |
| PPO Next | COMM | $115.67 | ↓ -15% |
| NovaNet | COMM | $122.47 | ↓ -10% |
| Hospice of North Central FL | FEDERAL | $132.77 | ↓ -2% |
| Hospice of North Central FL | MCR | $132.77 | ↓ -2% |
| Hospice of North Central FL | MCD | $132.77 | ↓ -2% |
| Humana | TRICARE | $133.70 | ↓ -2% |
| Beacon Health Options | MCR | $136.08 | ↑ +0% |
| Wellmed | MGMCR | $147.52 | ↑ +8% |
| United | AllPayerAppendix | $147.52 | ↑ +8% |
| United | VACCN | $147.52 | ↑ +8% |
| Humana | MGMCRPPO | $147.52 | ↑ +8% |
| Humana | MGMCRHMO | $147.52 | ↑ +8% |
| United Behavioral Health | VACCN | $147.52 | ↑ +8% |
| NDMS Definitive Care | MGMCR | $147.52 | ↑ +8% |
| BCBS | MCRHMO | $150.47 | ↑ +11% |
| Capital Health Plan | MCRHMO | $150.47 | ↑ +11% |
| United | MCR | $150.47 | ↑ +11% |
| BCBS | MCRPPO | $150.47 | ↑ +11% |
| Aetna | MCR | $151.21 | ↑ +11% |
| WellCare | MCR | $154.90 | ↑ +14% |
| Sunshine State | MCR | $154.90 | ↑ +14% |
| American Health Plan | MCR | $156.37 | ↑ +15% |
| Florida Complete Care | MCR | $157.85 | ↑ +16% |
| Cigna Healthspring | MCR | $157.85 | ↑ +16% |
| Align Senior Care | MGMCR | $157.85 | ↑ +16% |
| Gold Kidney of Florida | MCR | $160.80 | ↑ +18% |
| Centurion | GVT | $162.27 | ↑ +19% |
| Clear Spring Health | MCR | $162.27 | ↑ +19% |
| Ultimate Health Plan | MCR | $169.65 | ↑ +25% |
| Longevity Health Plan | MCR | $177.02 | ↑ +30% |
| Oscar | HIX | $179.97 | ↑ +32% |
| Simply Healthcare | HIX | $184.40 | ↑ +36% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Tissue culture tumor at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $985.01 | $147.52 – $269.37 |
| cleveland clinic florida weston hospital | Weston | $221.00 | $85.00 – $289.00 |
| martin north hospital | Stuart | $221.00 | $99.62 – $255.00 |
| indian river hospital | Vero Beach | $221.00 | $79.56 – $272.55 |
| Boca Raton Regional Hospital | BOCA RATON | $268.45 | $117.00 – $234.01 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $167.99 | $133.70 – $213.90 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $93.98 | $129.82 – $368.80 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $144.00 | $147.52 – $554.28 |