Prolactin at Adventhealth North Pinellas
1395 S Pinellas Ave, Tarpon Springs, FL · AdventHealth · · NPI 1568473015
$67.83
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.
$67.83
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.
$19.38 with Humana vs $43.02 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 | $19.38 | ↓ -71% |
| Bcbs | Medicare Managed Care - Hmo | $19.77 | ↓ -71% |
| Longevity Health Plan | Medicare Managed Care Plan | $19.96 | ↓ -71% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $20.16 | ↓ -70% |
| Freedom Health | Medicare Managed Care - Hmo | $20.35 | ↓ -70% |
| Simply Healthcare | Medicare Managed Care - Hmo | $20.54 | ↓ -70% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $20.74 | ↓ -69% |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $21.71 | ↓ -68% |
| Oscar | Individual Epo | $42.80 | ↓ -37% |
| Sunshine Health | Ambetter Exchange | $43.02 | ↓ -37% |
Visitor-reported prices
Comments
Prolactin at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $293.28 | $18.41 – $32.35 |
| Adventhealth Lake Wales | Lake Wales | $67.31 | $19.38 – $43.02 |
| Adventhealth Palm Coast Parkway | Palm Coast | $310.40 | $18.41 – $41.39 |
| Adventhealth Tampa | Tampa | $167.03 | $19.38 – $43.02 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $66.00 | $18.41 – $42.34 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $389.00 | $15.50 – $72.55 |
| Adventhealth Port Charlotte | Port Charlotte | $142.80 | $19.38 – $35.39 |
| cleveland clinic florida weston hospital | Weston | $131.30 | $6.33 – $29.88 |