Decalcification at HCA FLORIDA LEHIGH HOSPITAL
1500 LEE BLVD, LEHIGH ACRES, FL · HCA Florida Healthcare · · NPI 1982426615
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.
$1.31 with Aetna vs $17.48 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 |
|---|---|---|---|
| Aetna | MCR | $1.31 | — |
| Freedom Health Care | MGMGR | $1.48 | — |
| Optimum Healthcare | PFFS | $1.48 | — |
| Optimum Healthcare | MCRPPO | $1.48 | — |
| Optimum Healthcare | MCRHMO | $1.48 | — |
| Simply Healthcare | HIX | $2.41 | — |
| Oscar | HIX | $2.85 | — |
| Simply Healthcare | MGMCR | $2.93 | — |
| United | OptionsPPO | $3.12 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $4.37 | — |
| Sunshine State Health Plan | QHP | $4.84 | — |
| Aetna | ASA | $5.70 | — |
| United | AllPayerAppendix | $8.72 | — |
| Plotkin Health | COMM | $9.50 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $9.50 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $14.25 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $14.25 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $17.48 | — |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
Comments
Decalcification at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $78.07 | not published |
| Adventhealth Lake Wales | Lake Wales | $11.60 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $14.08 | not published |
| Adventhealth Tampa | Tampa | $198.67 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $77.39 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $493.00 | $8.72 – $114.70 |
| Adventhealth Port Charlotte | Port Charlotte | $338.52 | not published |
| cleveland clinic florida weston hospital | Weston | $67.60 | $7.14 – $104.00 |