Cptrz oph img pst sg rta oct at Adventhealth Zephyrhills
7050 Gall Blvd, Zephyrhills, FL · AdventHealth · · NPI 1346354677
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$225.48 with Upmc Health Plan vs $778.50 with Unitedhealthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $225.48 | — |
| Bcbs | Medicare Managed Care - Hmo | $232.25 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $234.50 | — |
| Freedom Health | Medicare Managed Care - Hmo | $236.76 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $239.01 | — |
| Cigna | Medicare Managed Care - Hmo/Ppo | $241.27 | — |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $252.54 | — |
| Sunshine Health | Ambetter Exchange | $500.57 | — |
| Oscar | Individual Epo | $522.92 | — |
| Unitedhealthcare | Hmo/Ppo | $653.94 | — |
| Unitedhealthcare | Compass Exchange | $653.94 | — |
| Unitedhealthcare | Nexus Hmo | $653.94 | — |
| Unitedhealthcare | Neighborhood Health Partnership (Nhp) Hmo | $778.50 | — |
Visitor-reported prices
Comments
Cptrz oph img pst sg rta oct at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $183.30 | $31.76 – $325.08 |
| martin north hospital | Stuart | $1,163.50 | $33.43 – $895.00 |
| indian river hospital | Vero Beach | $1,163.50 | $31.76 – $1,432.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $214.21 – $376.33 |
| Adventhealth Lake Wales | Lake Wales | not published | $225.48 – $653.94 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $214.21 – $778.50 |
| Adventhealth Tampa | Tampa | not published | $225.48 – $529.38 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $214.21 – $492.57 |