Mopath procedure level 5 at Adventhealth Fish Memorial
1055 Saxon Blvd, Orange City, FL · AdventHealth · · NPI 1700978558
$954.45
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.
$954.45
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.
$261.09 with Florida Health Care Plan vs $523.06 with Oscar — 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 | $261.09 | ↓ -73% |
| Health First Health Plans | Medicare Managed Care - Hmo | $274.83 | ↓ -71% |
| Bcbs | Medicare Managed Care - Hmo | $283.07 | ↓ -70% |
| Humana | Careplus Medicare Managed Care - Hmo | $285.82 | ↓ -70% |
| Unitedhealthcare | Medicare Managed Care - Hmo/Ppo | $288.57 | ↓ -70% |
| Simply Healthcare | Medicare Managed Care - Hmo | $291.32 | ↓ -69% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $294.07 | ↓ -69% |
| Humana | Medicare Managed Care - Hmo | $305.61 | ↓ -68% |
| Oscar | Individual Epo | $523.06 | ↓ -45% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $961.91 | $274.83 – $610.12 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $182.00 | $105.14 – $398.50 |
| Adventhealth Port Charlotte | Port Charlotte | $1,835.34 | $274.83 – $501.84 |
| cleveland clinic florida weston hospital | Weston | $1,261.00 | $76.88 – $343.00 |
| martin north hospital | Stuart | $1,261.00 | $80.93 – $343.00 |
| Boca Raton Regional Hospital | BOCA RATON | $2,933.45 | $9.00 – $26.00 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $975.00 | $106.73 – $398.50 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $210.00 | $274.83 – $1,033.36 |