Lung perfusion imaging at Adventhealth Ocala
1500 Sw 1St Ave, Ocala, FL · AdventHealth · · NPI 1740772268
$1,116.63
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.
$1,116.63
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.
$414.43 with Aetna vs $926.79 with Sunshine Health — 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 | Qhp Exchange | $414.43 | ↓ -63% |
| Health First Health Plans | Medicare Managed Care - Hmo | $417.47 | ↓ -63% |
| Bcbs | Medicare Managed Care - Hmo | $430.00 | ↓ -61% |
| Freedom Health | Medicare Managed Care - Hmo | $438.35 | ↓ -61% |
| Simply Healthcare | Medicare Managed Care - Hmo | $442.52 | ↓ -60% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $446.70 | ↓ -60% |
| Adventhealth | Amps Hmo | $469.11 | ↓ -58% |
| Unitedhealthcare | Nexus Hmo | $594.05 | ↓ -47% |
| Unitedhealthcare | Hmo/Ppo | $594.05 | ↓ -47% |
| Unitedhealthcare | Neighborhood Health Partnership (Nhp) Hmo | $594.05 | ↓ -47% |
| Unitedhealthcare | Compass Exchange | $594.05 | ↓ -47% |
| Aetna | Hmo/Ppo | $687.83 | ↓ -38% |
| Cigna | Hmo/Ppo | $725.15 | ↓ -35% |
| Oscar | Individual Epo | $875.11 | ↓ -22% |
| Sunshine Health | Ambetter Exchange | $926.79 | ↓ -17% |
Visitor-reported prices
Comments
Lung perfusion imaging at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $4,741.87 | $396.60 – $696.76 |
| Adventhealth Lake Wales | Lake Wales | $1,695.61 | $414.43 – $926.79 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,394.27 | $396.60 – $891.68 |
| Adventhealth Tampa | Tampa | $3,083.23 | $408.67 – $926.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,059.97 | $396.60 – $911.97 |
| Adventhealth Port Charlotte | Port Charlotte | $2,437.34 | $417.47 – $762.31 |
| cleveland clinic florida weston hospital | Weston | $2,445.30 | $29.97 – $2,946.10 |
| martin north hospital | Stuart | $2,252.90 | $26.81 – $1,733.00 |