Fmri brain by phys/psych 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.
$249.17 with Humana vs $713.47 with Cigna — 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 | $249.17 | — |
| Bcbs | Medicare Managed Care - Hmo | $254.15 | — |
| Longevity Health Plan | Medicare Managed Care Plan | $256.64 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $259.13 | — |
| Freedom Health | Medicare Managed Care - Hmo | $261.63 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $264.12 | — |
| Cigna | Medicare Managed Care - Hmo/Ppo | $266.61 | — |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $279.07 | — |
| Aetna | Qhp Exchange | $393.67 | — |
| Adventhealth | Amps Hmo | $411.42 | — |
| Oscar | Individual Epo | $550.31 | — |
| Sunshine Health | Ambetter Exchange | $553.15 | — |
| Aetna | Hmo/Ppo | $657.05 | — |
| Cigna | Hmo/Ppo | $713.47 | — |
Visitor-reported prices
Comments
Fmri brain by phys/psych at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,015.65 | $110.24 – $1,772.25 |
| martin north hospital | Stuart | $1,355.25 | $98.64 – $1,042.50 |
| indian river hospital | Vero Beach | $660.40 | $117.37 – $1,016.00 |
| Baptist Hospital | MIAMI | $1,703.00 | $151.97 – $2,157.30 |
| Bethesda Hospital East | BOYNTON BEACH | $1,558.05 | $151.97 – $2,157.30 |
| Boca Raton Regional Hospital | BOCA RATON | $2,809.30 | $244.69 – $2,822.27 |
| Doctors Hospital | CORAL GABLES | $1,558.05 | $147.32 – $2,157.30 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,558.05 | $147.32 – $2,157.30 |