Troponin quantitative at Adventhealth Lake Wales
410 S 11Th St, Lake Wales, FL · AdventHealth · · NPI 1053972760
$402.26
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.
$402.26
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.
$12.47 with Health First Health Plans vs $27.68 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 | $12.47 | ↓ -97% |
| Bcbs | Medicare Managed Care - Hmo | $12.84 | ↓ -97% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $12.97 | ↓ -97% |
| Freedom Health | Medicare Managed Care - Hmo | $13.09 | ↓ -97% |
| Simply Healthcare Plans | Medicare Managed Care - Hmo | $13.22 | ↓ -97% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $13.34 | ↓ -97% |
| Oscar | Individual Epo | $25.16 | ↓ -94% |
| Sunshine Health | Ambetter Exchange | $27.68 | ↓ -93% |
Visitor-reported prices
Comments
Troponin quantitative at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $414.90 | $11.85 – $20.81 |
| Adventhealth Palm Coast Parkway | Palm Coast | $427.82 | $11.85 – $26.63 |
| Adventhealth Tampa | Tampa | $453.25 | $12.47 – $27.68 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $355.63 | $11.85 – $27.24 |
| Adventhealth Port Charlotte | Port Charlotte | $92.33 | $12.47 – $22.77 |
| cleveland clinic florida weston hospital | Weston | $115.70 | $5.24 – $151.30 |
| martin north hospital | Stuart | $244.40 | $6.08 – $133.50 |
| indian river hospital | Vero Beach | $115.70 | $5.78 – $142.40 |