Knee MRI (with contrast) at Adventhealth Wauchula
735 S 5Th Ave, Wauchula, FL · AdventHealth · · NPI 1275511651
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.
$1,006.77 with Aetna vs $1,006.77 with Aetna — 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 |
|---|---|---|---|
| Aetna | All Commercial Plans | $1,006.77 | — |
Visitor-reported prices
Comments
Knee MRI (with contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $10,343.68 | $701.93 – $1,366.30 |
| Adventhealth Lake Wales | Lake Wales | $2,537.52 | $577.59 – $1,817.36 |
| Adventhealth Palm Coast Parkway | Palm Coast | $7,560.36 | $633.75 – $1,748.52 |
| Adventhealth Tampa | Tampa | $7,308.76 | $569.57 – $1,817.36 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,678.05 | $777.70 – $1,788.30 |
| Adventhealth Port Charlotte | Port Charlotte | $7,823.28 | $595.24 – $1,494.82 |
| cleveland clinic florida weston hospital | Weston | $4,892.55 | $68.33 – $5,791.90 |
| martin north hospital | Stuart | $4,429.10 | $61.14 – $3,407.00 |