Artery xrays of pelvis 75736 26 at Adventhealth Lake Wales
410 S 11Th St, Lake Wales, FL · AdventHealth · · NPI 1053972760
$12,681.09
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.
$12,681.09
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.
$3,489.25 with Aetna vs $12,900.14 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 |
|---|---|---|---|
| Aetna | Qhp Exchange | $3,489.25 | ↓ -72% |
| Aetna | Hmo/Ppo | $5,791.19 | ↓ -54% |
| Health First Health Plans | Medicare Managed Care - Hmo | $5,810.88 | ↓ -54% |
| Bcbs | Medicare Managed Care - Hmo | $5,985.20 | ↓ -53% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $6,043.31 | ↓ -52% |
| Freedom Health | Medicare Managed Care - Hmo | $6,101.42 | ↓ -52% |
| Simply Healthcare Plans | Medicare Managed Care - Hmo | $6,159.53 | ↓ -51% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $6,217.64 | ↓ -51% |
| Cigna | Castcare Disney Hmo | $6,250.99 | ↓ -51% |
| Unitedhealthcare | Compass Exchange | $8,956.42 | ↓ -29% |
| Unitedhealthcare | Nexus Hmo | $8,956.42 | ↓ -29% |
| Unitedhealthcare | Neighborhood Health Partnership (Nhp) Hmo | $8,956.42 | ↓ -29% |
| Unitedhealthcare | Hmo/Ppo | $8,956.42 | ↓ -29% |
| Oscar | Individual Epo | $11,725.19 | ↓ -8% |
| Sunshine Health | Ambetter Exchange | $12,900.14 | ↑ +2% |
Visitor-reported prices
Comments
Artery xrays of pelvis 75736 26 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $11,557.23 | $4,240.41 – $9,698.35 |
| Adventhealth Palm Coast Parkway | Palm Coast | $9,926.25 | $3,828.48 – $12,411.45 |
| Adventhealth Tampa | Tampa | $14,552.47 | $3,440.79 – $12,900.14 |
| Adventhealth Port Charlotte | Port Charlotte | $17,658.58 | $3,595.87 – $10,610.66 |
| cleveland clinic florida weston hospital | Weston | $30,602.00 | $46.44 – $39,630.40 |
| martin north hospital | Stuart | $30,305.60 | $41.56 – $23,312.00 |
| indian river hospital | Vero Beach | $30,305.60 | $42.24 – $37,299.20 |
| Baptist Hospital | MIAMI | $4,803.50 | $173.17 – $6,651.00 |