Prq tcat plmt ntrac st 1 les at Adventhealth Wesley Chapel
2600 Bruce B Downs Blvd, Wesley Chapel, FL · AdventHealth · · NPI 1073893020
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.
$12,055.35 with Health First Health Plans vs $26,762.89 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 |
|---|---|---|---|
| Health First Health Plans | Medicare Managed Care - Hmo | $12,055.35 | — |
| Bcbs | Medicare Managed Care - Hmo | $12,417.01 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $12,537.57 | — |
| Freedom Health | Medicare Managed Care - Hmo | $12,658.12 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $12,778.68 | — |
| Cigna | Medicare Managed Care - Hmo/Ppo | $12,899.23 | — |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $13,502.00 | — |
| Oscar Insurance | Individual Epo | $22,137.25 | — |
| Sunshine Health | Ambetter Exchange | $26,762.89 | — |
Visitor-reported prices
Comments
Prq tcat plmt ntrac st 1 les at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $27,501.82 | $11,452.59 – $20,120.39 |
| Adventhealth Palm Coast Parkway | Palm Coast | $27,371.49 | $11,452.59 – $25,749.03 |
| Adventhealth Tampa | Tampa | $33,588.88 | $12,055.35 – $26,762.89 |
| Adventhealth Port Charlotte | Port Charlotte | $31,909.44 | $12,055.35 – $22,013.08 |
| cleveland clinic florida weston hospital | Weston | $34,353.15 | $337.02 – $44,923.35 |
| martin north hospital | Stuart | $34,353.15 | $439.41 – $26,425.50 |
| indian river hospital | Vero Beach | $34,353.15 | $337.02 – $42,280.80 |
| Baptist Hospital | MIAMI | $29,387.15 | $173.17 – $40,689.90 |