Ghs simple repair 12.6 - 20.0 cm - 12005 at Adventhealth Port Charlotte
2500 Harbor Blvd, Port Charlotte, FL · AdventHealth · · NPI 1760299093
$2,092.66
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.
$2,092.66
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.
$424.52 with Alignment Health Plan vs $775.16 with Oscar — 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 |
|---|---|---|---|
| Alignment Health Plan | Medicare Managed Care Plan | $424.52 | ↓ -80% |
| Freedom Health | Medicare Managed Care - HMO | $433.01 | ↓ -79% |
| BCBS | Medicare Managed Care - HMO | $437.25 | ↓ -79% |
| Aetna | Medicare Managed Care - HMO/PPO | $441.50 | ↓ -79% |
| Simply Healthcare | Medicare Managed Care - HMO | $449.99 | ↓ -78% |
| UnitedHealthCare | Medicare Managed Care - HMO/PPO | $453.81 | ↓ -78% |
| Devoted Health | Medicare Managed Care - HMO/PPO | $454.23 | ↓ -78% |
| Wellcare | Medicare Managed Care - HMO/PPO | $475.46 | ↓ -77% |
| Oscar | Individual EPO | $775.16 | ↓ -63% |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12005 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,225.93 | $403.29 – $708.52 |
| Adventhealth Lake Wales | Lake Wales | $1,225.93 | $424.52 – $942.42 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,225.93 | $403.29 – $906.72 |
| Adventhealth Tampa | Tampa | $2,827.66 | $424.52 – $942.42 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $926.37 | $403.29 – $927.35 |
| cleveland clinic florida weston hospital | Weston | $974.35 | $64.56 – $1,274.15 |
| martin north hospital | Stuart | $974.35 | $83.54 – $749.50 |
| indian river hospital | Vero Beach | $974.35 | $64.56 – $1,199.20 |