Ot therapeutic activities direct patient contact each 15 minutes at Adventhealth North Pinellas
1395 S Pinellas Ave, Tarpon Springs, FL · AdventHealth · · NPI 1568473015
$206.21
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.
$206.21
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.
$36.40 with Humana vs $80.81 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 | $36.40 | ↓ -82% |
| Bcbs | Medicare Managed Care - Hmo | $37.13 | ↓ -82% |
| Longevity Health Plan | Medicare Managed Care Plan | $37.49 | ↓ -82% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $37.86 | ↓ -82% |
| Freedom Health | Medicare Managed Care - Hmo | $38.22 | ↓ -81% |
| Simply Healthcare | Medicare Managed Care - Hmo | $38.58 | ↓ -81% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $38.95 | ↓ -81% |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $40.77 | ↓ -80% |
| Oscar | Individual Epo | $80.39 | ↓ -61% |
| Sunshine Health | Ambetter Exchange | $80.81 | ↓ -61% |
Visitor-reported prices
Comments
Ot therapeutic activities direct patient contact each 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $190.12 | $34.58 – $60.75 |
| Adventhealth Lake Wales | Lake Wales | $195.08 | $36.40 – $80.81 |
| Adventhealth Palm Coast Parkway | Palm Coast | $245.45 | not published |
| Adventhealth Tampa | Tampa | $149.70 | $36.40 – $80.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $174.49 | $34.58 – $79.52 |
| Adventhealth Port Charlotte | Port Charlotte | $268.35 | not published |
| cleveland clinic florida weston hospital | Weston | $222.95 | $19.28 – $291.55 |
| martin north hospital | Stuart | $222.95 | $22.07 – $257.25 |