Kidney img w/bldflw sgl without rx at Adventhealth Fish Memorial
1055 Saxon Blvd, Orange City, FL · AdventHealth · · NPI 1700978558
$2,987.87
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.
$2,987.87
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.
$538.66 with Florida Health Care Plan vs $1,132.70 with Unitedhealthcare — 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 | $538.66 | ↓ -82% |
| Health First Health Plans | Medicare Managed Care - Hmo | $567.01 | ↓ -81% |
| Bcbs | Medicare Managed Care - Hmo | $584.02 | ↓ -80% |
| Humana | Careplus Medicare Managed Care - Hmo | $589.69 | ↓ -80% |
| Unitedhealthcare | Medicare Managed Care - Hmo/Ppo | $595.36 | ↓ -80% |
| Simply Healthcare | Medicare Managed Care - Hmo | $601.03 | ↓ -80% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $606.70 | ↓ -80% |
| Humana | Medicare Managed Care - Hmo | $630.52 | ↓ -79% |
| Aetna | Qhp Exchange | $662.82 | ↓ -78% |
| Adventhealth | Amps Hmo | $686.35 | ↓ -77% |
| Cigna | Surefit Epo | $721.55 | ↓ -76% |
| Aetna | Hmo/Ppo | $937.36 | ↓ -69% |
| Cigna | County Of Volusia Hmo Employee | $995.51 | ↓ -67% |
| Cigna | Hmo/Ppo | $995.51 | ↓ -67% |
| Cigna | Castcare Disney Hmo | $995.51 | ↓ -67% |
| Oscar | Individual Epo | $1,079.14 | ↓ -64% |
| Unitedhealthcare | Neighborhood Health Partnership (Nhp) Hmo | $1,132.70 | ↓ -62% |
| Unitedhealthcare | Nexus Hmo | $1,132.70 | ↓ -62% |
| Unitedhealthcare | Compass Exchange | $1,132.70 | ↓ -62% |
| Unitedhealthcare | Hmo/Ppo | $1,132.70 | ↓ -62% |
Visitor-reported prices
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Kidney img w/bldflw sgl without rx at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $4,179.74 | $538.66 – $946.34 |
| Adventhealth Tampa | Tampa | $1,651.16 | $556.92 – $1,258.77 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $773.27 | $538.66 – $1,238.64 |
| Adventhealth Port Charlotte | Port Charlotte | $2,863.26 | $567.01 – $1,035.36 |
| cleveland clinic florida weston hospital | Weston | $3,267.55 | $38.63 – $3,946.55 |
| martin north hospital | Stuart | $3,017.95 | $34.56 – $2,321.50 |
| indian river hospital | Vero Beach | $3,017.95 | $35.04 – $3,714.40 |
| Baptist Hospital | MIAMI | $1,928.55 | $173.17 – $2,670.30 |