Ins/rplc spi npg/rcvr pocket at Adventhealth Carrollwood
7171 N Dale Mabry Hwy, Tampa, FL · AdventHealth · · NPI 1427068345
$63,262.68
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.
$63,262.68
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.
$537.00 with Humana vs $71,537.38 with Sunshine Health — 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 - Hmo | $537.00 | ↓ -99% |
| Health First Health Plans | Medicare Managed Care - Hmo | $32,224.05 | ↓ -49% |
| Bcbs | Medicare Managed Care - Hmo | $32,868.53 | ↓ -48% |
| Longevity Health Plan | Medicare Managed Care Plan | $33,190.77 | ↓ -48% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $33,513.01 | ↓ -47% |
| Freedom Health | Medicare Managed Care - Hmo | $33,835.25 | ↓ -47% |
| Simply Healthcare | Medicare Managed Care - Hmo | $34,157.49 | ↓ -46% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $34,479.73 | ↓ -45% |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $36,090.93 | ↓ -43% |
| Oscar | Individual Epo | $60,229.97 | ↓ -5% |
| Sunshine Health | Ambetter Exchange | $71,537.38 | ↑ +13% |
Visitor-reported prices
Comments
Ins/rplc spi npg/rcvr pocket at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | not published | $537.00 – $71,537.38 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $2,206.72 – $2,253.17 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa | not published | $2,206.72 – $2,253.17 |
| cleveland clinic florida weston hospital | Weston | $32,887.40 | $262.47 – $43,006.60 |
| martin north hospital | Stuart | $32,887.40 | $262.47 – $35,446.45 |
| AdventHealth Orlando | Orlando | $23,076.00 | $32,224.05 – $85,393.72 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $30,612.84 – $53,781.93 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,173.81 – $2,219.57 |