Drainage of mouth lesion at AdventHealth Orlando
601 E Rollins St, Orlando, FL · AdventHealth · · NPI 1306938071
$10,326.00
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.
$10,326.00
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.
$3,462.26 with Bcbs vs $9,175.00 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 | $3,462.26 | ↓ -66% |
| Bcbs | Medicare Managed Care - Hmo | $3,566.13 | ↓ -65% |
| Humana | Careplus Medicare Managed Care - Hmo | $3,635.38 | ↓ -65% |
| Simply Healthcare | Medicare Managed Care Plan | $3,670.00 | ↓ -64% |
| Aetna | Medicare Managed Care Plan | $3,704.62 | ↓ -64% |
| Oscar | Individual Plan Exchange | $5,812.45 | ↓ -44% |
| Sunshine State Health Plan | Ambetter Exchange | $9,175.00 | ↓ -11% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO | not published | $1,040.54 – $1,095.31 |
| UCF LAKE NONA HOSPITAL | Orlando | not published | $1,040.54 – $1,062.45 |
| Adventhealth Tampa | Tampa | $30,746.36 | $401.00 – $7,686.23 |
| cleveland clinic florida weston hospital | Weston | $12,121.20 | $181.73 – $15,850.80 |
| martin north hospital | Stuart | $12,121.20 | $316.35 – $13,986.00 |
| Adventhealth Waterman | Tavares | $9,703.14 | $3,462.26 – $6,986.16 |
| Adventhealth Riverview | Riverview | $30,746.36 | not published |
| Adventhealth Carrollwood | Tampa | $30,746.36 | $401.00 – $7,686.23 |