Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Adventhealth Carrollwood
7171 N Dale Mabry Hwy, Tampa, FL · AdventHealth · · NPI 1427068345
$314.28
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.
$314.28
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.
$48.79 with Health First Health Plans vs $108.31 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 |
|---|---|---|---|
| Health First Health Plans | Medicare Managed Care - Hmo | $48.79 | ↓ -84% |
| Bcbs | Medicare Managed Care - Hmo | $49.77 | ↓ -84% |
| Longevity Health Plan | Medicare Managed Care Plan | $50.25 | ↓ -84% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $50.74 | ↓ -84% |
| Freedom Health | Medicare Managed Care - Hmo | $51.23 | ↓ -84% |
| Simply Healthcare | Medicare Managed Care - Hmo | $51.72 | ↓ -84% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $52.21 | ↓ -83% |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $54.64 | ↓ -83% |
| Oscar | Individual Epo | $91.19 | ↓ -71% |
| Sunshine Health | Ambetter Exchange | $108.31 | ↓ -66% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $314.28 | $48.79 – $108.31 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $42.94 – $62.26 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa | not published | $42.94 – $62.26 |
| Adventhealth Daytona Beach | Daytona Beach | $146.42 | $46.35 – $81.43 |
| Adventhealth Lake Wales | Lake Wales | $297.69 | $48.79 – $108.31 |
| Adventhealth Palm Coast Parkway | Palm Coast | $110.07 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $178.70 | $46.35 – $106.58 |
| Adventhealth Port Charlotte | Port Charlotte | $414.84 | not published |