Cath plc art ang/grft lt/rt hr at Adventhealth Lake Wales
410 S 11Th St, Lake Wales, FL · AdventHealth · · NPI 1053972760
$28,238.19
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.
$28,238.19
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.
$3,385.48 with Health First Health Plans vs $7,515.77 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 | $3,385.48 | ↓ -88% |
| Bcbs | Medicare Managed Care - Hmo | $3,487.05 | ↓ -88% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $3,520.90 | ↓ -88% |
| Freedom Health | Medicare Managed Care - Hmo | $3,554.76 | ↓ -87% |
| Simply Healthcare Plans | Medicare Managed Care - Hmo | $3,588.61 | ↓ -87% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $3,622.46 | ↓ -87% |
| Oscar | Individual Epo | $6,831.22 | ↓ -76% |
| Sunshine Health | Ambetter Exchange | $7,515.77 | ↓ -73% |
Visitor-reported prices
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Cath plc art ang/grft lt/rt hr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $18,508.49 | $3,216.21 – $5,650.37 |
| Adventhealth Palm Coast Parkway | Palm Coast | $16,269.10 | $3,216.21 – $7,231.05 |
| Adventhealth Tampa | Tampa | $26,893.51 | $3,385.48 – $7,515.77 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $12,571.47 | $3,216.21 – $7,395.58 |
| Adventhealth Port Charlotte | Port Charlotte | $25,548.83 | $3,385.48 – $6,181.89 |
| cleveland clinic florida weston hospital | Weston | $15,026.70 | $695.50 – $19,650.30 |
| martin north hospital | Stuart | $15,026.70 | $1,001.64 – $11,559.00 |
| indian river hospital | Vero Beach | $15,026.70 | $695.50 – $18,494.40 |