Abdominal CT scan (without contrast) at Adventhealth Lake Wales
410 S 11Th St, Lake Wales, FL · AdventHealth · · NPI 1053972760
$8,427.48
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.
$8,427.48
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.
$109.17 with Health First Health Plans vs $306.84 with Cigna — 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 |
|---|---|---|---|
| Health First Health Plans | Medicare Managed Care - Hmo | $109.17 | ↓ -99% |
| Bcbs | Medicare Managed Care - Hmo | $112.45 | ↓ -99% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $113.54 | ↓ -99% |
| Freedom Health | Medicare Managed Care - Hmo | $114.63 | ↓ -99% |
| Simply Healthcare Plans | Medicare Managed Care - Hmo | $115.73 | ↓ -99% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $116.82 | ↓ -99% |
| Aetna | Qhp Exchange | $171.28 | ↓ -98% |
| Oscar | Individual Epo | $220.29 | ↓ -97% |
| Unitedhealthcare | Compass Exchange | $240.37 | ↓ -97% |
| Unitedhealthcare | Neighborhood Health Partnership (Nhp) Hmo | $240.37 | ↓ -97% |
| Unitedhealthcare | Nexus Hmo | $240.37 | ↓ -97% |
| Unitedhealthcare | Hmo/Ppo | $240.37 | ↓ -97% |
| Sunshine Health | Ambetter Exchange | $242.37 | ↓ -97% |
| Aetna | Hmo/Ppo | $284.27 | ↓ -97% |
| Cigna | Castcare Disney Hmo | $306.84 | ↓ -96% |
Visitor-reported prices
Comments
Abdominal CT scan (without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $5,646.44 | $103.72 – $222.10 |
| Adventhealth Palm Coast Parkway | Palm Coast | $5,462.61 | $103.72 – $301.99 |
| Adventhealth Tampa | Tampa | $6,844.73 | $109.17 – $242.37 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $3,200.73 | $103.72 – $290.01 |
| Adventhealth Port Charlotte | Port Charlotte | $7,696.08 | $109.17 – $199.35 |
| cleveland clinic florida weston hospital | Weston | $937.30 | $49.58 – $780.30 |
| martin north hospital | Stuart | $596.70 | $44.36 – $524.00 |
| indian river hospital | Vero Beach | $596.70 | $53.05 – $734.40 |