Adenovirus assay w/optic at Adventhealth Lake Wales
410 S 11Th St, Lake Wales, FL · AdventHealth · · NPI 1053972760
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.
$21.76 with Health First Health Plans vs $48.31 with Sunshine Health — 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 | $21.76 | — |
| Bcbs | Medicare Managed Care - Hmo | $22.41 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $22.63 | — |
| Freedom Health | Medicare Managed Care - Hmo | $22.85 | — |
| Simply Healthcare Plans | Medicare Managed Care - Hmo | $23.07 | — |
| Cigna | Medicare Managed Care - Hmo/Ppo | $23.28 | — |
| Oscar | Individual Epo | $43.91 | — |
| Sunshine Health | Ambetter Exchange | $48.31 | — |
Visitor-reported prices
Comments
Adenovirus assay w/optic at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $59.80 | $4.02 – $33.55 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $20.67 – $36.32 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $20.67 – $46.48 |
| Adventhealth Tampa | Tampa | not published | $21.76 – $48.31 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $20.67 – $47.53 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $17.41 – $102.94 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $21.76 – $39.73 |
| martin north hospital | Stuart | not published | $4.23 – $32.06 |