Sept9 promoter methylation analysis 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.
$192.00 with Health First Health Plans vs $426.24 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 | $192.00 | — |
| Bcbs | Medicare Managed Care - Hmo | $197.76 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $199.68 | — |
| Freedom Health | Medicare Managed Care - Hmo | $201.60 | — |
| Simply Healthcare Plans | Medicare Managed Care - Hmo | $203.52 | — |
| Cigna | Medicare Managed Care - Hmo/Ppo | $205.44 | — |
| Oscar | Individual Epo | $387.42 | — |
| Sunshine Health | Ambetter Exchange | $426.24 | — |
Visitor-reported prices
Comments
Sept9 promoter methylation analysis at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $241.15 | $80.93 – $282.89 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka | $184.50 | $98.94 – $240.00 |
| AdventHealth Orlando | Orlando | $622.00 | $192.00 – $508.80 |
| Adventhealth Carrollwood | Tampa | $2,963.52 | $192.00 – $426.24 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $182.40 – $320.45 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $182.40 – $410.09 |
| Adventhealth Tampa | Tampa | not published | $192.00 – $426.24 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $182.40 – $419.42 |