Cystic fibrosis cftr at Adventhealth North Pinellas
1395 S Pinellas Ave, Tarpon Springs, FL · AdventHealth · · NPI 1568473015
$1,746.50
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.
$1,746.50
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.
$499.00 with Humana vs $1,107.78 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 | $499.00 | ↓ -71% |
| Bcbs | Medicare Managed Care - Hmo | $508.98 | ↓ -71% |
| Longevity Health Plan | Medicare Managed Care Plan | $513.97 | ↓ -71% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $518.96 | ↓ -70% |
| Freedom Health | Medicare Managed Care - Hmo | $523.95 | ↓ -70% |
| Simply Healthcare | Medicare Managed Care - Hmo | $528.94 | ↓ -70% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $533.93 | ↓ -69% |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $558.88 | ↓ -68% |
| Oscar | Individual Epo | $1,102.09 | ↓ -37% |
| Sunshine Health | Ambetter Exchange | $1,107.78 | ↓ -37% |
Visitor-reported prices
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Cystic fibrosis cftr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $806.65 | $170.10 – $1,054.85 |
| martin north hospital | Stuart | $806.65 | $179.05 – $930.75 |
| Boca Raton Regional Hospital | BOCA RATON | $2,208.05 | $181.00 – $1,708.90 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $480.00 | $499.00 – $1,876.84 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $480.00 | $499.00 – $1,876.84 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $480.00 | $499.00 – $1,876.84 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $1,208.00 | $115.59 – $1,741.97 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $474.05 – $832.83 |