Revasc intra lithotrip-stent at Adventhealth Sebring
4200 Sun N Lake Blvd, Sebring, FL · AdventHealth · · NPI 1083692594
$29,864.77
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.
$29,864.77
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.
$19,621.93 with Humana vs $43,505.16 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 |
|---|---|---|---|
| Humana | Medicare Managed Care Plan | $19,621.93 | ↓ -34% |
| Bcbs | Medicare Managed Care Plan | $19,717.64 | ↓ -34% |
| Aetna | Medicare Managed Care Plan | $19,909.08 | ↓ -33% |
| Simply Healthcare | Medicare Managed Care Plan | $20,291.94 | ↓ -32% |
| Unitedhealthcare | Medicare Managed Care Plan | $20,464.23 | ↓ -31% |
| Devoted Health | Medicare Managed Care Plan | $20,483.38 | ↓ -31% |
| Sunshine Health | Ambetter Exchange | $42,498.22 | ↑ +42% |
| Oscar | Exchange | $43,505.16 | ↑ +46% |
Visitor-reported prices
Comments
Revasc intra lithotrip-stent at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $22,111.23 | $18,186.18 – $31,950.24 |
| Adventhealth Lake Wales | Lake Wales | $44,222.43 | $19,143.34 – $42,498.22 |
| Adventhealth Palm Coast Parkway | Palm Coast | $22,111.23 | $18,186.18 – $40,888.27 |
| Adventhealth Tampa | Tampa | $29,481.63 | $19,143.34 – $42,498.22 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $18,952.48 | $18,186.18 – $41,818.63 |
| Adventhealth Port Charlotte | Port Charlotte | $28,007.55 | $19,143.34 – $34,955.74 |
| cleveland clinic florida weston hospital | Weston | $30,315.35 | $2,345.00 – $39,643.15 |
| martin north hospital | Stuart | $30,315.35 | $4,372.28 – $34,979.25 |