Vein x-ray skull 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.
$788.12 with CorVel Corporation vs $6,674.72 with Beacon Health Options — 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $788.12 | — |
| AvMed | HIX | $800.97 | — |
| Prime Health | WC | $804.71 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $829.60 | — |
| United | OptionsPPO | $1,001.21 | — |
| Simply | MGMCR | $1,027.91 | — |
| Molina Healthcare | MGMCR | $1,268.20 | — |
| Humana | PPO | $1,334.94 | — |
| Humana | HMO | $1,334.94 | — |
| Evolutions | TieredNetwork | $1,535.19 | — |
| AvMed | HMOFI | $1,668.68 | — |
| Sunshine State Health Plan | QHP | $1,702.05 | — |
| Aetna | ASA | $2,002.42 | — |
| AvMed | ASOEO | $2,002.42 | — |
| Molina Healthcare | HIX | $2,135.91 | — |
| United | GlobalBenefitPlan | $3,003.62 | — |
| Prime Health Sheriff | WORKERSCOMP | $3,337.36 | — |
| AvMed | HIXOON | $3,337.36 | — |
| Prime Health Sheriff | COMM | $3,337.36 | — |
| Plotkin Health | COMM | $3,337.36 | — |
| Corizon PHS | Prison | $4,004.83 | — |
| Multiplan | Primary | $5,206.28 | — |
| Evernorth | BHCOMM | $5,339.78 | — |
| PPO Next | PPO | $5,673.51 | — |
| PPO Next | COMM | $5,673.51 | — |
| Multiplan | Complementary | $5,673.51 | — |
| Evolutions Healthcare | TRADITIONALPPO | $5,673.51 | — |
| NovaNet | COMM | $6,007.25 | — |
| United | AllPayerAppendix | $6,438.74 | — |
| Beacon Health Options | MCR | $6,674.72 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Vein x-ray skull at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $21,237.15 | $443.70 – $6,020.85 |
| cleveland clinic florida weston hospital | Weston | $17,972.50 | $47.59 – $23,075.80 |
| martin north hospital | Stuart | $17,646.20 | $42.58 – $13,574.00 |
| indian river hospital | Vero Beach | $17,646.20 | $50.93 – $21,718.40 |
| Baptist Hospital | MIAMI | $1,717.95 | $173.17 – $3,692.97 |
| Bethesda Hospital East | BOYNTON BEACH | $1,717.95 | $371.00 – $3,429.18 |
| Boca Raton Regional Hospital | BOCA RATON | $1,626.30 | $468.00 – $3,367.59 |
| Doctors Hospital | CORAL GABLES | $1,717.95 | $462.53 – $3,692.97 |