Contrast x-ray of elbow at HCA FLORIDA PALMS WEST HOSPITAL
13001 SOUTHERN BLVD, LOXAHATCHEE, FL · HCA Florida Healthcare · · NPI 1528014669
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.
$197.54 with Freedom Health vs $2,756.40 with AIDS Healthcare — 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 |
|---|---|---|---|
| Freedom Health | MGMCR | $197.54 | — |
| Optimum | MGMCR | $197.54 | — |
| AvMed | HIX | $298.61 | — |
| Simply Healthcare Plans | MGMCR | $298.61 | — |
| Freedom Health | MGMCD | $367.52 | — |
| Molina | MCR | $436.43 | — |
| CorVel Corporation | WORKERSCOMP | $450.64 | — |
| CareWorks (Rockport) | WORKERSCOMP | $460.13 | — |
| Prime Health | WORKERSCOMP | $460.13 | — |
| Humana | HMO | $482.37 | — |
| AvMed | FullyInsured | $482.37 | — |
| Health Sun Health Plan | MGMCR | $489.26 | — |
| AvMed | Empower | $505.34 | — |
| AvMed | Focus | $505.34 | — |
| AvMed | Flex | $505.34 | — |
| AIDS Healthcare | MGMCR | $505.34 | — |
| AvMed | Select | $505.34 | — |
| AvMed | Engage | $505.34 | — |
| MMM of FL (Health Advantage Plan) | MCR | $528.31 | — |
| United PPO | OptionsPPO | $544.39 | — |
| Healthy Palm Beaches | COMM | $550.00 | — |
| AvMed | ASOEO | $551.28 | — |
| Sunshine State Health Plan | QHP | $597.22 | — |
| Molina | HIX | $620.19 | — |
| Aetna | ASA | $689.10 | — |
| Humana | PPO | $780.98 | — |
| United | AllPayerAppendix | $828.27 | — |
| United | GlobalBenefitPlanAppendix | $1,033.65 | — |
| Palm Beach Juvenile Correction | GVT | $1,148.50 | — |
| Health Care District | COMM | $1,148.50 | — |
| Plotkin Health | COMM | $1,148.50 | — |
| AvMed | JacksonFirstNetworkOON | $1,148.50 | — |
| Prime Health Sherriff | COMM | $1,148.50 | — |
| Medica HealthCare | MCR | $1,332.26 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,722.75 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,952.45 | — |
| AIDS Healthcare | MGMCD | $2,756.40 | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Contrast x-ray of elbow at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast | $1,224.60 | $346.11 – $1,140.93 |
| Adventhealth Tampa | Tampa | $3,582.22 | $364.32 – $808.79 |
| Adventhealth Port Charlotte | Port Charlotte | $1,638.34 | $364.32 – $665.25 |
| cleveland clinic florida weston hospital | Weston | $2,142.40 | $23.45 – $2,618.00 |
| martin north hospital | Stuart | $2,002.00 | $20.98 – $1,540.00 |
| indian river hospital | Vero Beach | $2,002.00 | $21.97 – $2,464.00 |
| Baptist Hospital | MIAMI | $800.15 | $73.69 – $1,107.90 |
| Bethesda Hospital East | BOYNTON BEACH | $800.15 | $73.69 – $1,107.90 |