X-ray abdomen >=3 views 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.
$128.81 with AvMed vs $1,073.39 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 |
|---|---|---|---|
| AvMed | HIX | $128.81 | — |
| United | OptionsPPO | $161.01 | — |
| Simply | MGMCR | $165.30 | — |
| Molina Healthcare | MGMCR | $203.94 | — |
| Humana | PPO | $214.68 | — |
| Humana | HMO | $214.68 | — |
| United | AllPayerAppendix | $245.18 | — |
| Evolutions | TieredNetwork | $246.88 | — |
| AvMed | HMOFI | $268.35 | — |
| Sunshine State Health Plan | QHP | $273.71 | — |
| Aetna | ASA | $322.02 | — |
| AvMed | ASOEO | $322.02 | — |
| Molina Healthcare | HIX | $343.48 | — |
| United | GlobalBenefitPlan | $483.03 | — |
| Prime Health Sheriff | COMM | $536.70 | — |
| Prime Health Sheriff | WORKERSCOMP | $536.70 | — |
| Plotkin Health | COMM | $536.70 | — |
| AvMed | HIXOON | $536.70 | — |
| CorVel Corporation | WORKERSCOMP | $616.70 | — |
| Prime Health | WC | $629.69 | — |
| Corizon PHS | Prison | $644.03 | — |
| Careworks (Rockport Community) | WORKERSCOMP | $649.16 | — |
| Multiplan | Primary | $837.24 | — |
| Evernorth | BHCOMM | $858.71 | — |
| Multiplan | Complementary | $912.38 | — |
| PPO Next | COMM | $912.38 | — |
| PPO Next | PPO | $912.38 | — |
| Evolutions Healthcare | TRADITIONALPPO | $912.38 | — |
| NovaNet | COMM | $966.05 | — |
| Beacon Health Options | MCR | $1,073.39 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
X-ray abdomen >=3 views at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,014.35 | $103.72 – $182.21 |
| Adventhealth Lake Wales | Lake Wales | $1,745.01 | $109.17 – $242.37 |
| Adventhealth Palm Coast Parkway | Palm Coast | $959.96 | $103.72 – $286.15 |
| Adventhealth Tampa | Tampa | $1,430.07 | $109.17 – $242.37 |
| Adventhealth Port Charlotte | Port Charlotte | $1,701.22 | $109.17 – $199.35 |
| cleveland clinic florida weston hospital | Weston | $674.05 | $12.53 – $780.30 |
| martin north hospital | Stuart | $674.05 | $12.73 – $459.00 |
| indian river hospital | Vero Beach | $596.70 | $10.47 – $734.40 |