Apl(pml-rara) quant - sendout at Adventhealth Daytona Beach
301 Memorial Medical Parkway, Daytona Beach, FL · AdventHealth · · NPI 1063426823
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.
$196.94 with Florida Health Care Plan vs $346.00 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 |
|---|---|---|---|
| Florida Health Care Plan | Medicare Managed Care - Hmo | $196.94 | — |
| Health First Health Plans | Medicare Managed Care - Hmo | $207.31 | — |
| Bcbs | Medicare Managed Care - Hmo | $213.53 | — |
| Humana | Careplus Medicare Managed Care - Hmo | $215.60 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo/Ppo | $217.68 | — |
| Simply Healthcare | Medicare Managed Care - Hmo | $219.75 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $221.82 | — |
| Humana | Medicare Managed Care - Hmo | $226.59 | — |
| Oscar | Individual Epo | $346.00 | — |
Visitor-reported prices
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Apl(pml-rara) quant - sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $3,199.83 | $207.31 – $460.23 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $107.00 | $105.14 – $300.60 |
| Adventhealth Port Charlotte | Port Charlotte | $1,384.57 | $207.31 – $378.55 |
| cleveland clinic florida weston hospital | Weston | $929.50 | $76.88 – $1,215.50 |
| martin north hospital | Stuart | $929.50 | $80.93 – $1,072.50 |
| Baptist Hospital | MIAMI | $453.05 | $83.71 – $627.30 |
| Bethesda Hospital East | BOYNTON BEACH | $453.05 | $83.71 – $627.30 |
| Boca Raton Regional Hospital | BOCA RATON | $534.95 | $116.28 – $323.00 |