Hla i & ii typing lr at AdventHealth New Smyrna Beach
401 Palmetto St, New Smyrna Beach, FL · AdventHealth · · NPI 1871977942
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.
$382.01 with Florida Health Care Plan vs $878.43 with Oscar — 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 |
|---|---|---|---|
| Florida Health Care Plan | Medicare Managed Care Plan | $382.01 | — |
| Careplus | Medicare Managed Care Plan | $402.12 | — |
| Bcbs | Medicare Managed Care Plan | $414.18 | — |
| Unitedhealthcare | Medicare Managed Care | $422.23 | — |
| Simply Healthcare | Medicare Managed Care Plan | $426.25 | — |
| Aetna | Medicare Managed Care Plan | $430.27 | — |
| Oscar | Exchange | $878.43 | — |
Visitor-reported prices
Comments
Hla i & ii typing lr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $6,206.72 | $402.12 – $892.71 |
| Adventhealth Port Charlotte | Port Charlotte | $1,407.42 | $402.12 – $734.27 |
| cleveland clinic florida weston hospital | Weston | $1,534.65 | $170.10 – $989.40 |
| martin north hospital | Stuart | $1,534.65 | $179.05 – $873.00 |
| Adventhealth Waterman | Tavares | $1,396.51 | $402.12 – $811.40 |
| AdventHealth Orlando | Orlando | $3,152.00 | $402.12 – $1,065.62 |
| Adventhealth Riverview | Riverview | $6,206.72 | not published |
| Adventhealth Carrollwood | Tampa | $6,206.72 | $402.12 – $892.71 |