Apply short leg castambul type 29425 at Adventhealth Lake Wales
410 S 11Th St, Lake Wales, FL · AdventHealth · · NPI 1053972760
$1,287.10
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.
$1,287.10
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.
$292.08 with Health First Health Plans vs $648.41 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 | $292.08 | ↓ -77% |
| Bcbs | Medicare Managed Care - Hmo | $300.84 | ↓ -77% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $303.76 | ↓ -76% |
| Freedom Health | Medicare Managed Care - Hmo | $306.68 | ↓ -76% |
| Simply Healthcare Plans | Medicare Managed Care - Hmo | $309.60 | ↓ -76% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $312.52 | ↓ -76% |
| Oscar | Individual Epo | $589.35 | ↓ -54% |
| Sunshine Health | Ambetter Exchange | $648.41 | ↓ -50% |
Visitor-reported prices
Comments
Apply short leg castambul type 29425 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $2,976.33 | not published |
| cleveland clinic florida weston hospital | Weston | $993.20 | $42.92 – $1,298.80 |
| martin north hospital | Stuart | $993.20 | $44.37 – $764.00 |
| Baptist Hospital | MIAMI | $1,378.00 | $125.39 – $954.00 |
| Bethesda Hospital East | BOYNTON BEACH | $689.00 | $125.39 – $954.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $689.00 | $121.55 – $954.00 |
| AdventHealth Orlando | Orlando | $910.00 | $292.08 – $774.00 |
| Adventhealth Riverview | Riverview | $2,976.33 | not published |