Conversion ext bil drg cath 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$3,738.94 with Humana vs $8,300.44 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 | Careplus Medicare Managed Care - Hmo | $3,738.94 | — |
| Bcbs | Medicare Managed Care - Hmo | $3,813.72 | — |
| Longevity Health Plan | Medicare Managed Care Plan | $3,851.11 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $3,888.49 | — |
| Freedom Health | Medicare Managed Care - Hmo | $3,925.88 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $3,963.27 | — |
| Cigna | Medicare Managed Care - Hmo/Ppo | $4,000.66 | — |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $4,187.61 | — |
| Oscar | Individual Epo | $8,257.82 | — |
| Sunshine Health | Ambetter Exchange | $8,300.44 | — |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $12,322.68 | $3,738.94 – $8,300.44 |
| cleveland clinic florida weston hospital | Weston | $13,190.45 | $180.21 – $17,249.05 |
| martin north hospital | Stuart | $13,190.45 | $240.36 – $15,219.75 |
| indian river hospital | Vero Beach | $13,190.45 | $180.21 – $16,234.40 |
| Baptist Hospital | MIAMI | $4,661.80 | $173.17 – $6,454.80 |
| Bethesda Hospital East | BOYNTON BEACH | $4,661.80 | $1,455.98 – $6,454.80 |
| Boca Raton Regional Hospital | BOCA RATON | $8,624.20 | $3,671.78 – $8,664.00 |
| Doctors Hospital | CORAL GABLES | $4,661.80 | $1,255.10 – $6,454.80 |