AdventHealth · Wauchula, FL
32
In-network payers
295
Disclosed rate categories
25
Beds
Adventhealth Family Medicine Wauchula is a 25-bed voluntary non-profit - private hospital in Wauchula, FL, affiliated with AdventHealth. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 295 disclosed rate categories.
CCN (Medicare provider number)
101300
NPI
1275511651
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Adventhealth Family Medicine Wauchula most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Cardiology and vascular testing
CPT 93306
$1,093 - $4,059
from 3 insurers · median $4,023
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$698 - $9,232
from 3 insurers · median $8,375
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$5,628 - $6,962
from 4 insurers · median $5,947
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,468 - $9,232
from 4 insurers · median $6,440
Typical for a hospital with this service line
Gynecology
CPT 58571
$5,737 - $70,727
from 4 insurers · median $36,670
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$10,626 - $41,716
from 4 insurers · median $25,301
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$16,776 - $42,609
from 4 insurers · median $39,240
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$13,263 - $15,610
from 3 insurers · median $13,834
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,093 - $7,017
from 3 insurers · median $6,366
Typical for a hospital with this service line
Gynecology
CPT 58661
$2,859 - $45,885
from 4 insurers · median $30,107
Typical for a hospital with this service line
Gynecology
CPT 58662
$4,771 - $41,716
from 3 insurers · median $37,847
Typical for a hospital with this service line
CT imaging
CPT 74177
$430 - $783
from 3 insurers · median $497
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$106 - $671
from 4 insurers · median $366
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$10,416 - $12,948
from 4 insurers · median $11,111
Typical for a hospital with this service line
Urology
CPT 50590
$1,529 - $33,765
from 4 insurers · median $28,226
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,500 - $23,048
from 4 insurers · median $12,131
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$10,159 - $45,613
from 4 insurers · median $31,724
Typical for a hospital with this service line
Mammography
CPT 77067
$105 - $309
from 4 insurers · median $183
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$8,101 - $25,909
from 4 insurers · median $16,278
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$72 - $1,641
from 4 insurers · median $1,072
Typical for a hospital with this service line
CT imaging
CPT 74176
$395 - $2,873
from 3 insurers · median $485
Typical for a hospital with this service line
Ear, nose and throat
CPT 30520
$2,218 - $23,328
from 4 insurers · median $15,963
Typical for a hospital with this service line
Orthopedics and pain
CPT 64721
$4,263 - $17,244
from 4 insurers · median $15,040
Typical for a hospital with this service line
Ear, nose and throat
CPT 42830
$7,488 - $23,328
from 4 insurers · median $21,483
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 716% | 2 | 2 |
| Insurer B* | 24 | 629% | 6 | 4 |
| Insurer C* | 19 | 221% | 4 | 3 |
| Insurer D* | 24 | 220% | 6 | 7 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Adventhealth Family Medicine Wauchula.
533 West Carlton Street, Wauchula, FL 33873
(863) 773-3101
The nearest hospitals of similar type and size. Their rates are compared with Adventhealth Family Medicine Wauchula for the same insurers and services above.
Hendry Regional Medical Center
Rates about the same as Adventhealth Family Medicine Wauchula (22 services)
Lake Butler Hospital
▼ Rates typically 43% lower than Adventhealth Family Medicine Wauchula (16 services)
Mariners Hospital
▲ Rates typically 34% higher than Adventhealth Family Medicine Wauchula (13 services)
Fishermen’s Community Hospital
▲ Rates typically 80% higher than Adventhealth Family Medicine Wauchula (12 services)
Madison Cty Memorial Hospital
▼ Rates typically 90% lower than Adventhealth Family Medicine Wauchula (23 services)
George E Weems Memorial Hosp
▼ Rates typically 57% lower than Adventhealth Family Medicine Wauchula (23 services)
About Adventhealth Family Medicine Wauchula's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Adventhealth Family Medicine Wauchula range from $430 to $783 across 3 insurers. Blue Cross Blue Shield's rate is $497. The median at nearby comparable hospitals is $1,544. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Adventhealth Family Medicine Wauchula range from $698 to $9,232 across 3 insurers. Aetna's rate is $698. The median at nearby comparable hospitals is $1,980. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Adventhealth Family Medicine Wauchula range from $105 to $309 across 4 insurers. Blue Cross Blue Shield's rate is $105. The median at nearby comparable hospitals is $266. What a patient pays depends on their plan's deductible, coinsurance and network status.
Adventhealth Family Medicine Wauchula has 25 beds. Facility type: Critical Access Hospital.
Adventhealth Family Medicine Wauchula is located at 533 West Carlton Street, Wauchula, FL 33873. Its main phone number is (863) 773-3101.
Adventhealth Family Medicine Wauchula's CMS Certification Number (CCN), also called its Medicare provider number, is 101300.
The National Provider Identifier (NPI) on file for Adventhealth Family Medicine Wauchula is 1275511651.
Adventhealth Family Medicine Wauchula is affiliated with AdventHealth.
Adventhealth Family Medicine Wauchula lists 32 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
295 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers