Cltx carpl scphd fx w/mnpj at Adventhealth Zephyrhills
7050 Gall Blvd, Zephyrhills, FL · AdventHealth · · NPI 1346354677
$16,347.39
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.
$16,347.39
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.
$1,679.19 with Upmc Health Plan vs $3,894.21 with Oscar — 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 |
|---|---|---|---|
| Upmc Health Plan | Medicare Managed Care - Hmo/Ppo | $1,679.19 | ↓ -90% |
| Bcbs | Medicare Managed Care - Hmo | $1,729.57 | ↓ -89% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,746.36 | ↓ -89% |
| Freedom Health | Medicare Managed Care - Hmo | $1,763.15 | ↓ -89% |
| Simply Healthcare | Medicare Managed Care - Hmo | $1,779.94 | ↓ -89% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $1,796.74 | ↓ -89% |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $1,880.70 | ↓ -88% |
| Sunshine Health | Ambetter Exchange | $3,727.81 | ↓ -77% |
| Oscar | Individual Epo | $3,894.21 | ↓ -76% |
Visitor-reported prices
Comments
Cltx carpl scphd fx w/mnpj at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Lake Wales | Lake Wales | $4,940.21 | not published |
| Adventhealth Tampa | Tampa | $16,347.39 | $537.00 – $3,727.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $5,410.70 | $1,595.23 – $3,668.20 |
| cleveland clinic florida weston hospital | Weston | $5,981.95 | $227.31 – $7,822.55 |
| martin north hospital | Stuart | $5,981.95 | $326.35 – $6,902.25 |
| Baptist Hospital | MIAMI | $9,087.65 | $173.17 – $6,291.90 |
| AdventHealth Orlando | Orlando | $5,258.00 | $1,679.19 – $4,449.86 |
| Adventhealth Riverview | Riverview | $16,347.39 | not published |