Kidney imaging morphology 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$396.60 with Florida Health Care Plan vs $995.51 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $396.60 | — |
| Health First Health Plans | Medicare Managed Care - Hmo | $417.47 | — |
| Bcbs | Medicare Managed Care - Hmo | $430.00 | — |
| Humana | Careplus Medicare Managed Care - Hmo | $434.17 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo/Ppo | $438.35 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $442.52 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $446.70 | — |
| Humana | Medicare Managed Care - Hmo | $464.23 | — |
| Aetna | Qhp Exchange | $662.82 | — |
| Adventhealth | Amps Hmo | $686.35 | — |
| Cigna | Surefit Epo | $721.55 | — |
| Oscar | Individual Epo | $794.53 | — |
| Unitedhealthcare | Neighborhood Health Partnership (Nhp) Hmo | $873.60 | — |
| Unitedhealthcare | Hmo/Ppo | $873.60 | — |
| Unitedhealthcare | Compass Exchange | $873.60 | — |
| Unitedhealthcare | Nexus Hmo | $873.60 | — |
| Aetna | Hmo/Ppo | $937.36 | — |
| Cigna | County Of Volusia Hmo Employee | $995.51 | — |
| Cigna | Castcare Disney Hmo | $995.51 | — |
| Cigna | Hmo/Ppo | $995.51 | — |
Visitor-reported prices
Comments
Kidney imaging morphology at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,369.90 | $18.89 – $459.22 |
| martin north hospital | Stuart | $2,252.90 | $16.90 – $459.22 |
| indian river hospital | Vero Beach | $117.00 | $16.39 – $459.22 |
| Boca Raton Regional Hospital | BOCA RATON | $1,077.70 | $409.97 – $1,082.67 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $1,235.60 | $431.99 – $884.18 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | $2,010.00 | $848.52 – $1,553.17 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $2,825.50 | $848.52 – $1,366.26 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS | $6,677.91 | $848.52 – $1,401.23 |