Abdominal MRI (without contrast) at Adventhealth Lake Wales
410 S 11Th St, Lake Wales, FL · AdventHealth · · NPI 1053972760
$16,214.30
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.
$16,214.30
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.
$249.17 with Health First Health Plans vs $715.19 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 | $249.17 | ↓ -98% |
| Bcbs | Medicare Managed Care - Hmo | $256.64 | ↓ -98% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $259.13 | ↓ -98% |
| Freedom Health | Medicare Managed Care - Hmo | $261.63 | ↓ -98% |
| Simply Healthcare Plans | Medicare Managed Care - Hmo | $264.12 | ↓ -98% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $266.61 | ↓ -98% |
| Aetna | Qhp Exchange | $399.22 | ↓ -98% |
| Unitedhealthcare | Nexus Hmo | $487.85 | ↓ -97% |
| Unitedhealthcare | Neighborhood Health Partnership (Nhp) Hmo | $487.85 | ↓ -97% |
| Unitedhealthcare | Compass Exchange | $487.85 | ↓ -97% |
| Unitedhealthcare | Hmo/Ppo | $487.85 | ↓ -97% |
| Oscar | Individual Epo | $502.77 | ↓ -97% |
| Sunshine Health | Ambetter Exchange | $553.15 | ↓ -97% |
| Aetna | Hmo/Ppo | $662.59 | ↓ -96% |
| Cigna | Castcare Disney Hmo | $715.19 | ↓ -96% |
Visitor-reported prices
Comments
Abdominal MRI (without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $6,155.65 | $236.71 – $517.67 |
| Adventhealth Palm Coast Parkway | Palm Coast | $6,059.52 | $236.71 – $703.89 |
| Adventhealth Tampa | Tampa | $5,638.72 | $249.17 – $553.15 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $3,503.34 | $236.71 – $675.95 |
| Adventhealth Port Charlotte | Port Charlotte | $8,131.84 | $249.17 – $454.98 |
| cleveland clinic florida weston hospital | Weston | $1,734.85 | $60.51 – $1,772.25 |
| martin north hospital | Stuart | $1,734.85 | $54.14 – $1,042.50 |
| indian river hospital | Vero Beach | $1,734.85 | $64.76 – $1,668.00 |