Mopath procedure level 3 at Adventhealth Lake Wales
410 S 11Th St, Lake Wales, FL · AdventHealth · · NPI 1053972760
$473.54
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.
$473.54
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.
$150.33 with Health First Health Plans vs $333.73 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 | $150.33 | ↓ -68% |
| Bcbs | Medicare Managed Care - Hmo | $154.84 | ↓ -67% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $156.34 | ↓ -67% |
| Freedom Health | Medicare Managed Care - Hmo | $157.85 | ↓ -67% |
| Simply Healthcare Plans | Medicare Managed Care - Hmo | $159.35 | ↓ -66% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $160.85 | ↓ -66% |
| Oscar | Individual Epo | $303.34 | ↓ -36% |
| Sunshine Health | Ambetter Exchange | $333.73 | ↓ -30% |
Visitor-reported prices
Comments
Mopath procedure level 3 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $303.68 | $142.81 – $250.90 |
| Adventhealth Palm Coast Parkway | Palm Coast | $720.39 | $142.81 – $321.09 |
| Adventhealth Tampa | Tampa | $2,320.34 | $150.33 – $333.73 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $546.07 | $142.81 – $328.40 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $129.00 | $105.14 – $217.98 |
| Adventhealth Port Charlotte | Port Charlotte | $1,003.93 | $150.33 – $274.50 |
| cleveland clinic florida weston hospital | Weston | $850.85 | $76.88 – $1,112.65 |
| martin north hospital | Stuart | $850.85 | $80.93 – $981.75 |