Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at HCA FLORIDA NORTH FLORIDA HOSPITAL
12311 W NEWBERRY RD, NEWBERRY, FL · HCA Florida Healthcare · · NPI 1174579155
$251.19
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.
$251.19
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.
$16.58 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 | $16.58 | ↓ -93% |
| BCBS | MCRHMO | $16.63 | ↓ -93% |
| Aetna | MCR | $17.33 | ↓ -93% |
| BCBS | BSL | $26.63 | ↓ -89% |
| BCBS | SBN | $26.63 | ↓ -89% |
| BCBS | MBN | $26.63 | ↓ -89% |
| BCBS | HMO | $35.67 | ↓ -86% |
| United | OptionsPPO | $37.68 | ↓ -85% |
| Simply | MGMCR | $38.68 | ↓ -85% |
| BCBS | PPO | $40.94 | ↓ -84% |
| BCBS | NWB | $40.94 | ↓ -84% |
| Evolutions | TieredNetwork | $57.77 | ↓ -77% |
| BCBS | PHS | $63.30 | ↓ -75% |
| Aetna | ASA | $75.36 | ↓ -70% |
| Molina Healthcare | HIX | $80.38 | ↓ -68% |
| United | GlobalBenefitPlan | $113.04 | ↓ -55% |
| Plotkin Health | COMM | $125.59 | ↓ -50% |
| AvMed | HIXOON | $125.59 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $125.59 | ↓ -50% |
| Prime Health Sheriff | COMM | $125.59 | ↓ -50% |
| Humana | TRICARE | $129.47 | ↓ -48% |
| Corizon PHS | Prison | $150.71 | ↓ -40% |
| CorVel Corporation | WORKERSCOMP | $156.21 | ↓ -38% |
| Prime Health | WC | $159.50 | ↓ -37% |
| Careworks (Rockport Community) | WORKERSCOMP | $164.43 | ↓ -35% |
| Multiplan | Primary | $195.93 | ↓ -22% |
| Evernorth | BHCOMM | $200.95 | ↓ -20% |
| Evolutions Healthcare | TRADITIONALPPO | $213.51 | ↓ -15% |
| PPO Next | COMM | $213.51 | ↓ -15% |
| Multiplan | Complementary | $213.51 | ↓ -15% |
| PPO Next | PPO | $213.51 | ↓ -15% |
| NovaNet | COMM | $226.07 | ↓ -10% |
| Beacon Health Options | MCR | $251.19 | ↑ +0% |
| United | AllPayerAppendix | $400.41 | ↑ +59% |
| American Health Plan | MCR | $15,000.00 | ↑ +5872% |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $286.28 | not published |
| Adventhealth Lake Wales | Lake Wales | $2,515.85 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $577.02 | not published |
| Adventhealth Tampa | Tampa | $887.58 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $506.47 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $278.00 | $133.47 – $220.23 |
| Adventhealth Port Charlotte | Port Charlotte | $2,008.84 | not published |
| cleveland clinic florida weston hospital | Weston | $547.93 | $17.89 – $423.00 |