Brain image w/flow < 4 views at Adventhealth North Pinellas
1395 S Pinellas Ave, Tarpon Springs, FL · AdventHealth · · NPI 1568473015
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$417.47 with Humana vs $1,290.49 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Careplus Medicare Managed Care - Hmo | $417.47 | — |
| Bcbs | Medicare Managed Care - Hmo | $425.82 | — |
| Longevity Health Plan | Medicare Managed Care Plan | $430.00 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $434.17 | — |
| Freedom Health | Medicare Managed Care - Hmo | $438.35 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $442.52 | — |
| Cigna | Medicare Managed Care - Hmo/Ppo | $446.70 | — |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $467.57 | — |
| Aetna | Qhp Exchange | $712.05 | — |
| Adventhealth | Amps Hmo | $744.14 | — |
| Oscar | Individual Epo | $922.03 | — |
| Sunshine Health | Ambetter Exchange | $926.79 | — |
| Aetna | Hmo/Ppo | $1,188.42 | — |
| Cigna | Hmo/Ppo | $1,290.49 | — |
Visitor-reported prices
Comments
Brain image w/flow < 4 views at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,151.98 | $396.60 – $936.33 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,291.11 | $396.60 – $1,273.16 |
| Adventhealth Tampa | Tampa | $3,951.75 | $417.47 – $926.79 |
| cleveland clinic florida weston hospital | Weston | $2,385.50 | $20.88 – $2,946.10 |
| martin north hospital | Stuart | $2,252.90 | $237.02 – $2,599.50 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $6,722.16 | $848.52 – $2,099.91 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | $2,320.00 | $848.52 – $2,171.96 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $4,877.83 | $848.52 – $2,099.91 |