Cltx humrl cndylr fx w/mnpj 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.
$377.00 with Humana vs $3,727.81 with Sunshine Health — 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 | Medicare Managed Care - Hmo | $377.00 | — |
| Humana | Careplus Medicare Managed Care - Hmo | $1,679.19 | — |
| Bcbs | Medicare Managed Care - Hmo | $1,712.78 | — |
| Longevity Health Plan | Medicare Managed Care Plan | $1,729.57 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,746.36 | — |
| Freedom Health | Medicare Managed Care - Hmo | $1,763.15 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $1,779.94 | — |
| Cigna | Medicare Managed Care - Hmo/Ppo | $1,796.74 | — |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $1,880.70 | — |
| Oscar | Individual Epo | $3,708.66 | — |
| Sunshine Health | Ambetter Exchange | $3,727.81 | — |
Visitor-reported prices
Comments
Cltx humrl cndylr fx w/mnpj at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $4,940.21 | $1,595.23 – $3,586.59 |
| cleveland clinic florida weston hospital | Weston | $5,981.95 | $268.95 – $7,822.55 |
| martin north hospital | Stuart | $5,981.95 | $326.35 – $4,601.50 |
| indian river hospital | Vero Beach | $5,981.95 | $268.95 – $7,362.40 |
| Adventhealth Palm Coast | Palm Coast | $4,940.21 | $1,595.23 – $3,586.59 |
| AdventHealth Orlando | Orlando | $5,258.00 | $1,679.19 – $4,449.86 |
| Adventhealth Carrollwood | Tampa | $16,347.39 | $401.00 – $3,727.81 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,595.23 – $2,802.57 |