Sickling rbc at Adventhealth Lake Wales
410 S 11Th St, Lake Wales, FL · AdventHealth · · NPI 1053972760
$20.11
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.
$20.11
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.
$5.51 with Health First Health Plans vs $12.23 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 | $5.51 | ↓ -73% |
| Bcbs | Medicare Managed Care - Hmo | $5.68 | ↓ -72% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $5.73 | ↓ -72% |
| Freedom Health | Medicare Managed Care - Hmo | $5.79 | ↓ -71% |
| Simply Healthcare Plans | Medicare Managed Care - Hmo | $5.84 | ↓ -71% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $5.90 | ↓ -71% |
| Oscar | Individual Epo | $11.12 | ↓ -45% |
| Sunshine Health | Ambetter Exchange | $12.23 | ↓ -39% |
Visitor-reported prices
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Sickling rbc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $67.78 | $5.23 – $9.20 |
| Adventhealth Palm Coast Parkway | Palm Coast | $195.07 | $5.23 – $11.77 |
| Adventhealth Tampa | Tampa | $87.28 | $5.51 – $12.23 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $81.62 | $5.23 – $12.04 |
| Adventhealth Port Charlotte | Port Charlotte | $40.62 | $5.51 – $10.06 |
| cleveland clinic florida weston hospital | Weston | $70.85 | $2.31 – $63.75 |
| martin north hospital | Stuart | $70.85 | $2.96 – $56.25 |
| indian river hospital | Vero Beach | $70.85 | $2.81 – $87.20 |