Biopsy of lip 40490 at AdventHealth Orlando
601 E Rollins St, Orlando, FL · AdventHealth · · NPI 1306938071
$733.00
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.
$733.00
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.
$247.34 with Bcbs vs $655.44 with Sunshine State Health Plan — 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 |
|---|---|---|---|
| Bcbs | Global Transplant Medicare Managed Care Plan | $247.34 | ↓ -66% |
| Bcbs | Medicare Managed Care - Hmo | $254.76 | ↓ -65% |
| Humana | Careplus Medicare Managed Care - Hmo | $259.70 | ↓ -65% |
| Simply Healthcare | Medicare Managed Care Plan | $262.18 | ↓ -64% |
| Aetna | Medicare Managed Care Plan | $264.65 | ↓ -64% |
| Oscar | Individual Plan Exchange | $415.23 | ↓ -43% |
| Sunshine State Health Plan | Ambetter Exchange | $655.44 | ↓ -11% |
Visitor-reported prices
Comments
Biopsy of lip 40490 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO | not published | $1,157.87 – $1,218.81 |
| UCF LAKE NONA HOSPITAL | Orlando | not published | $1,157.87 – $1,182.25 |
| cleveland clinic florida weston hospital | Weston | $867.75 | $59.81 – $1,134.75 |
| martin north hospital | Stuart | $867.75 | $58.31 – $667.50 |
| indian river hospital | Vero Beach | $867.75 | $59.81 – $1,068.00 |
| Baptist Hospital | MIAMI | $611.65 | $117.45 – $846.90 |
| Boca Raton Regional Hospital | BOCA RATON | $594.75 | $242.89 – $597.50 |
| Adventhealth Carrollwood | Tampa | $771.72 | not published |