Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) 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.
$320.54 with Health First Health Plans vs $711.61 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 | $320.54 | — |
| Bcbs | Medicare Managed Care - Hmo | $330.16 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $333.36 | — |
| Freedom Health | Medicare Managed Care - Hmo | $336.57 | — |
| Simply Healthcare Plans | Medicare Managed Care - Hmo | $339.78 | — |
| Cigna | Medicare Managed Care - Hmo/Ppo | $342.98 | — |
| Oscar | Individual Epo | $646.79 | — |
| Sunshine Health | Ambetter Exchange | $711.61 | — |
Visitor-reported prices
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Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,168.05 | $304.52 – $534.99 |
| Adventhealth Palm Coast Parkway | Palm Coast | $381.85 | $304.52 – $684.65 |
| Adventhealth Tampa | Tampa | $1,699.44 | $320.54 – $711.61 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,172.45 | $304.52 – $700.23 |
| Adventhealth Port Charlotte | Port Charlotte | $2,872.65 | $320.54 – $585.31 |
| cleveland clinic florida weston hospital | Weston | $1,103.70 | $45.64 – $1,443.30 |
| martin north hospital | Stuart | $1,103.70 | $54.27 – $849.00 |
| indian river hospital | Vero Beach | $1,103.70 | $45.64 – $1,358.40 |