Ortho elbow without jnt cstm w/fit&adj at AdventHealth Orlando
601 E Rollins St, Orlando, FL · AdventHealth · · NPI 1306938071
$328.00
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.
$328.00
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.
$324.72 with Bcbs vs $860.51 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 | $324.72 | ↓ -1% |
| Bcbs | Medicare Managed Care - Hmo | $334.46 | ↑ +2% |
| Humana | Careplus Medicare Managed Care - Hmo | $340.96 | ↑ +4% |
| Simply Healthcare | Medicare Managed Care Plan | $344.20 | ↑ +5% |
| Aetna | Medicare Managed Care Plan | $347.45 | ↑ +6% |
| Oscar | Individual Plan Exchange | $545.14 | ↑ +66% |
| Sunshine State Health Plan | Ambetter Exchange | $860.51 | ↑ +162% |
Visitor-reported prices
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Ortho elbow without jnt cstm w/fit&adj at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO | not published | $314.98 – $470.84 |
| cleveland clinic florida weston hospital | Weston | $173.86 | $17.00 – $227.35 |
| martin north hospital | Stuart | $516.10 | $165.15 – $595.50 |
| Boca Raton Regional Hospital | BOCA RATON | $736.45 | $311.58 – $739.85 |
| Adventhealth Carrollwood | Tampa | $1,613.49 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $259.78 – $389.66 |
| indian river hospital | Vero Beach | not published | $588.18 – $588.18 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $314.98 – $470.84 |