Tc-99m labeled rbc 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.
$28.18 with Aetna vs $375.67 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 | $28.18 | — |
| Optimum Healthcare | PFFS | $31.85 | — |
| Optimum Healthcare | MCRPPO | $31.85 | — |
| Optimum Healthcare | MCRHMO | $31.85 | — |
| Freedom Health Care | MGMGR | $31.85 | — |
| Simply Healthcare | HIX | $51.86 | — |
| Oscar | HIX | $61.25 | — |
| Simply Healthcare | MGMCR | $62.88 | — |
| United | OptionsPPO | $66.97 | — |
| Cigna | HMO | $71.05 | — |
| Cigna | PPO | $71.05 | — |
| Evolutions Healthcare Systems | PrimeTier1 | $93.92 | — |
| Sunshine State Health Plan | QHP | $104.13 | — |
| Plotkin Health | COMM | $204.17 | — |
| Evolutions Healthcare Systems | PRIMENETWORK | $204.17 | — |
| United | AllPayerAppendix | $234.11 | — |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $306.25 | — |
| Evolutions Healthcare Systems | SELECTNETWORK | $306.25 | — |
| Evolutions Healthcare Systems | CHOICENETWORK | $375.67 | — |
Visitor-reported prices
Comments
Tc-99m labeled rbc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $250.25 | $58.80 – $1,390.00 |
| martin north hospital | Stuart | $250.25 | $72.80 – $649.00 |
| indian river hospital | Vero Beach | $250.25 | $82.25 – $1,575.00 |
| Baptist Hospital | MIAMI | $393.90 | $104.84 – $545.40 |
| Bethesda Hospital East | BOYNTON BEACH | $393.90 | $121.81 – $606.00 |
| Boca Raton Regional Hospital | BOCA RATON | $211.25 | $117.00 – $325.00 |
| Doctors Hospital | CORAL GABLES | $393.90 | $106.05 – $545.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $393.90 | $105.44 – $545.40 |