Insertion single tranvenous electrode/ppm/implantable defibrillator at Adventhealth Fish Memorial
1055 Saxon Blvd, Orange City, FL · AdventHealth · · NPI 1700978558
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.
$8,209.72 with Florida Health Care Plan vs $16,447.10 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 - Hmo | $8,209.72 | — |
| Health First Health Plans | Medicare Managed Care - Hmo | $8,641.82 | — |
| Bcbs | Medicare Managed Care - Hmo | $8,901.07 | — |
| Humana | Careplus Medicare Managed Care - Hmo | $8,987.49 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo/Ppo | $9,073.91 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $9,160.32 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $9,246.74 | — |
| Humana | Medicare Managed Care - Hmo | $9,609.70 | — |
| Oscar | Individual Epo | $16,447.10 | — |
Visitor-reported prices
Comments
Insertion single tranvenous electrode/ppm/implantable defibrillator at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $26,593.72 | $8,209.72 – $14,423.19 |
| Adventhealth Tampa | Tampa | $11,642.90 | $8,641.82 – $19,184.83 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $11,222.76 | $8,209.72 – $18,878.05 |
| Adventhealth Port Charlotte | Port Charlotte | $11,060.76 | $8,641.82 – $15,779.96 |
| cleveland clinic florida weston hospital | Weston | $24,957.40 | $278.02 – $32,636.60 |
| martin north hospital | Stuart | $24,957.40 | $281.37 – $19,198.00 |
| indian river hospital | Vero Beach | $24,957.40 | $278.02 – $30,716.80 |
| Baptist Hospital | MIAMI | $12,075.70 | $173.17 – $16,720.20 |