Assay of procainamide w/metab at Adventhealth Sebring
4200 Sun N Lake Blvd, Sebring, FL · AdventHealth · · NPI 1083692594
$50.25
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.
$50.25
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.
$17.17 with Humana vs $38.07 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 |
|---|---|---|---|
| Humana | Medicare Managed Care Plan | $17.17 | ↓ -66% |
| Bcbs | Medicare Managed Care Plan | $17.25 | ↓ -66% |
| Aetna | Medicare Managed Care Plan | $17.42 | ↓ -65% |
| Simply Healthcare | Medicare Managed Care Plan | $17.76 | ↓ -65% |
| Unitedhealthcare | Medicare Managed Care Plan | $17.91 | ↓ -64% |
| Devoted Health | Medicare Managed Care Plan | $17.92 | ↓ -64% |
| Sunshine Health | Ambetter Exchange | $37.18 | ↓ -26% |
| Oscar | Exchange | $38.07 | ↓ -24% |
Visitor-reported prices
Comments
Assay of procainamide w/metab at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $27.85 | $15.91 – $27.96 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $339.00 | $13.40 – $121.08 |
| Adventhealth Port Charlotte | Port Charlotte | $112.41 | $16.75 – $30.59 |
| cleveland clinic florida weston hospital | Weston | $99.45 | $5.81 – $153.00 |
| martin north hospital | Stuart | $55.25 | $6.12 – $24.75 |
| Baptist Hospital | MIAMI | $30.55 | $6.36 – $42.30 |
| Bethesda Hospital East | BOYNTON BEACH | $30.55 | $6.36 – $42.30 |
| Boca Raton Regional Hospital | BOCA RATON | $124.80 | $16.75 – $125.38 |