Pt evaluation moderate complexity patient/family at HCA FLORIDA LEHIGH HOSPITAL
1500 LEE BLVD, LEHIGH ACRES, FL · HCA Florida Healthcare · · NPI 1982426615
$577.19
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.
$577.19
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.
$45.02 with Optimum Healthcare vs $531.01 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 | MCRHMO | $45.02 | ↓ -92% |
| Optimum Healthcare | PFFS | $45.02 | ↓ -92% |
| Freedom Health Care | MGMGR | $45.02 | ↓ -92% |
| Optimum Healthcare | MCRPPO | $45.02 | ↓ -92% |
| Simply Healthcare | HIX | $73.30 | ↓ -87% |
| WellMed | MCR | $84.48 | ↓ -85% |
| Aetna | MCR | $84.48 | ↓ -85% |
| United | MGMCD | $84.48 | ↓ -85% |
| United | MCR | $86.17 | ↓ -85% |
| BCBS | MCRPPO | $86.17 | ↓ -85% |
| BCBS | MGMCRHMO | $86.17 | ↓ -85% |
| Oscar | HIX | $86.58 | ↓ -85% |
| HUMANA | MGMCRPPO | $88.70 | ↓ -85% |
| Simply Healthcare | MGMCR | $88.89 | ↓ -85% |
| WellCare | MCR | $89.55 | ↓ -84% |
| Humana | TRICARE | $92.93 | ↓ -84% |
| HUMANA | MGMCRHMO | $92.93 | ↓ -84% |
| United | OptionsPPO | $94.66 | ↓ -84% |
| CareSource | Tricare | $95.80 | ↓ -83% |
| Cigna | HMO | $100.43 | ↓ -83% |
| Cigna | PPO | $100.43 | ↓ -83% |
| Longevity Health Plan | MCR | $101.38 | ↓ -82% |
| Evolutions Healthcare Systems | PrimeTier1 | $132.75 | ↓ -77% |
| Sunshine State Health Plan | QHP | $147.18 | ↓ -75% |
| Aetna | ASA | $173.16 | ↓ -70% |
| Plotkin Health | COMM | $288.60 | ↓ -50% |
| Evolutions Healthcare Systems | PRIMENETWORK | $288.60 | ↓ -50% |
| Evolutions Healthcare Systems | SELECTNETWORK | $432.89 | ↓ -25% |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $432.89 | ↓ -25% |
| Evolutions Healthcare Systems | CHOICENETWORK | $531.01 | ↓ -8% |
| Aetna | GatedCOMM | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | NonGatedCOMM | not published by hospital | — |
Visitor-reported prices
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Pt evaluation moderate complexity patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $384.35 | $91.20 – $160.22 |
| Adventhealth Lake Wales | Lake Wales | $589.05 | $96.00 – $213.12 |
| Adventhealth Palm Coast Parkway | Palm Coast | $448.92 | not published |
| Adventhealth Tampa | Tampa | $660.51 | $96.00 – $213.12 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $444.78 | $91.20 – $209.71 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $900.00 | $67.58 – $101.38 |
| Adventhealth Port Charlotte | Port Charlotte | $765.67 | not published |
| cleveland clinic florida weston hospital | Weston | $491.40 | $68.99 – $642.60 |