Tl-201 thallium diag per mci at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$803.20
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.
$803.20
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.
$53.01 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 | $53.01 | ↓ -93% |
| BCBS | MCRHMO | $53.17 | ↓ -93% |
| Aetna | MCR | $55.42 | ↓ -93% |
| AvMed | HIX | $96.38 | ↓ -88% |
| Oscar | HIX | $96.38 | ↓ -88% |
| Simply Healthcare | HIX | $102.01 | ↓ -87% |
| United | OptionsPPO | $120.48 | ↓ -85% |
| Simply | MGMCR | $123.69 | ↓ -85% |
| Cigna | NBN | $139.76 | ↓ -83% |
| United | AllPayerAppendix | $143.28 | ↓ -82% |
| Molina Healthcare | MGMCR | $152.61 | ↓ -81% |
| Humana | HMO | $160.64 | ↓ -80% |
| Humana | PPO | $160.64 | ↓ -80% |
| Evolutions | TieredNetwork | $184.74 | ↓ -77% |
| AvMed | HMOFI | $200.80 | ↓ -75% |
| Sunshine State Health Plan | QHP | $204.82 | ↓ -74% |
| AvMed | ASOEO | $240.96 | ↓ -70% |
| Molina Healthcare | HIX | $257.02 | ↓ -68% |
| Cigna | PPO | $334.13 | ↓ -58% |
| Cigna | ManagedCareHMO | $334.13 | ↓ -58% |
| United | GlobalBenefitPlan | $361.44 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $401.60 | ↓ -50% |
| Prime Health Sheriff | COMM | $401.60 | ↓ -50% |
| Plotkin Health | COMM | $401.60 | ↓ -50% |
| AvMed | HIXOON | $401.60 | ↓ -50% |
| Corizon PHS | Prison | $481.92 | ↓ -40% |
| Multiplan | Primary | $626.50 | ↓ -22% |
| Evernorth | BHCOMM | $642.56 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $682.72 | ↓ -15% |
| PPO Next | PPO | $682.72 | ↓ -15% |
| PPO Next | COMM | $682.72 | ↓ -15% |
| Multiplan | Complementary | $682.72 | ↓ -15% |
| NovaNet | COMM | $722.88 | ↓ -10% |
| Beacon Health Options | MCR | $803.20 | ↑ +0% |
| American Health Plan | MCR | $15,000.00 | ↑ +1768% |
Visitor-reported prices
Comments
Tl-201 thallium diag per mci at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $221.00 | $78.80 – $78.80 |
| Baptist Hospital | MIAMI | $71.50 | $19.03 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $71.50 | $22.11 – $110.00 |
| Boca Raton Regional Hospital | BOCA RATON | $258.05 | $142.92 – $397.00 |
| Doctors Hospital | CORAL GABLES | $71.50 | $19.25 – $99.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $71.50 | $19.14 – $99.00 |
| Fishermens Community Hospital | MARATHON | $71.50 | $18.37 – $99.00 |
| Homestead Hospital | HOMESTEAD | $71.50 | $18.70 – $167.89 |