Consult comp w/report rfrd material at HCA FLORIDA LEHIGH HOSPITAL
1500 LEE BLVD, LEHIGH ACRES, FL · HCA Florida Healthcare · · NPI 1982426615
$238.75
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.
$238.75
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.
$18.62 with Optimum Healthcare vs $219.65 with Evolutions Healthcare Systems — 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 |
|---|---|---|---|
| Optimum Healthcare | PFFS | $18.62 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $18.62 | ↓ -92% |
| Optimum Healthcare | MCRHMO | $18.62 | ↓ -92% |
| Freedom Health Care | MGMGR | $18.62 | ↓ -92% |
| Simply Healthcare | HIX | $30.32 | ↓ -87% |
| Oscar | HIX | $35.81 | ↓ -85% |
| Simply Healthcare | MGMCR | $36.77 | ↓ -85% |
| United | OptionsPPO | $39.15 | ↓ -84% |
| Evolutions Healthcare Systems | PrimeTier1 | $54.91 | ↓ -77% |
| Sunshine State Health Plan | QHP | $60.88 | ↓ -75% |
| Aetna | ASA | $71.63 | ↓ -70% |
| Plotkin Health | COMM | $119.38 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $119.38 | ↓ -50% |
| United | AllPayerAppendix | $149.16 | ↓ -38% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $179.06 | ↓ -25% |
| Evolutions Healthcare Systems | SELECTNETWORK | $179.06 | ↓ -25% |
| Evolutions Healthcare Systems | CHOICENETWORK | $219.65 | ↓ -8% |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $718.66 | $169.02 – $296.94 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $298.31 | $169.02 – $388.65 |
| Adventhealth Port Charlotte | Port Charlotte | $996.14 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $796.90 | $56.79 – $613.00 |
| martin north hospital | Stuart | $187.85 | $49.47 – $216.75 |
| Baptist Hospital | MIAMI | $590.85 | $4.94 – $605.70 |
| Bethesda Hospital East | BOYNTON BEACH | $590.85 | $43.97 – $605.70 |
| Boca Raton Regional Hospital | BOCA RATON | $794.95 | $150.12 – $272.30 |