Chromo high res and frag x - sendout at Adventhealth Lake Wales
410 S 11Th St, Lake Wales, FL · AdventHealth · · NPI 1053972760
$198.09
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.
$198.09
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.
$57.04 with Health First Health Plans vs $126.63 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 | $57.04 | ↓ -71% |
| Bcbs | Medicare Managed Care - Hmo | $58.75 | ↓ -70% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $59.32 | ↓ -70% |
| Freedom Health | Medicare Managed Care - Hmo | $59.89 | ↓ -70% |
| Simply Healthcare Plans | Medicare Managed Care - Hmo | $60.46 | ↓ -69% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $61.03 | ↓ -69% |
| Oscar | Individual Epo | $115.10 | ↓ -42% |
| Sunshine Health | Ambetter Exchange | $126.63 | ↓ -36% |
Visitor-reported prices
Comments
Chromo high res and frag x - sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $880.41 | $57.04 – $126.63 |
| Adventhealth Port Charlotte | Port Charlotte | $380.65 | $57.04 – $104.16 |
| cleveland clinic florida weston hospital | Weston | $476.45 | $18.00 – $72.00 |
| martin north hospital | Stuart | $476.45 | $21.10 – $72.00 |
| indian river hospital | Vero Beach | $476.45 | $22.32 – $586.40 |
| Boca Raton Regional Hospital | BOCA RATON | $194.35 | $57.04 – $166.52 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $97.59 | $57.04 – $108.98 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $36.63 | $50.20 – $142.60 |