#covid19rsv-rsv 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.
$69.50 with HUMANA vs $108.09 with CareWorks (Rockport) — 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 |
|---|---|---|---|
| HUMANA | MGMCRHMO | $69.50 | — |
| HUMANA | MGMCRPPO | $69.50 | — |
| Humana | TRICR | $69.89 | — |
| Devoted Health | MCR | $70.20 | — |
| United | AllPayerAppendix | $70.20 | — |
| United | GVT | $70.20 | — |
| CarePlus SFL | MGMCR | $70.20 | — |
| NDMS Definitive Care | MGMCR | $70.20 | — |
| Veterans Evaluation Services | MCR | $70.20 | — |
| Wellmed | MGMCR | $70.20 | — |
| United | MCR | $71.60 | — |
| BCBS | MCRHMO | $71.60 | — |
| BCBS | MCRPPO | $71.60 | — |
| Aetna | MCR | $72.31 | — |
| Prominence HealthFirst | MCRHMO | $73.71 | — |
| Oscar | MCR | $73.71 | — |
| Sunshine State | MCR | $73.71 | — |
| American Health Plan | MCR | $74.41 | — |
| Align | MCR | $75.11 | — |
| Cigna HealthSpring | MGMCR | $75.11 | — |
| Florida Complete Care | MCR | $75.11 | — |
| Doctors Healthcare Plan | MCR | $77.22 | — |
| Sunshine State | MCD | $77.22 | — |
| Centurion | GVT | $77.22 | — |
| Gold Kidney | MCR | $78.62 | — |
| AmeriHealth Caritas | MGMCR | $84.24 | — |
| Longevity Health Plan | MCR | $84.24 | — |
| Simply Healthcare | HIX | $89.15 | — |
| Oscar | HIX | $98.98 | — |
| Solis Health Plan | MCR | $101.79 | — |
| AmeriHealth Caritas | HIX | $105.30 | — |
| CorVel Corporation | WORKERSCOMP | $105.86 | — |
| Prime Health | WORKERSCOMP | $108.09 | — |
| CareWorks (Rockport) | WORKERSCOMP | $108.09 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
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#covid19rsv-rsv at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Lake Wales | Lake Wales | $634.99 | $70.20 – $155.84 |
| Adventhealth Palm Coast Parkway | Palm Coast | $276.50 | $66.69 – $149.94 |
| Adventhealth Tampa | Tampa | $1,083.54 | $70.20 – $155.84 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $270.21 | $66.69 – $153.35 |
| Adventhealth Port Charlotte | Port Charlotte | $245.70 | $70.20 – $128.19 |
| cleveland clinic florida weston hospital | Weston | $295.75 | $25.65 – $386.75 |
| martin north hospital | Stuart | $295.75 | $27.00 – $248.25 |
| indian river hospital | Vero Beach | $295.75 | $25.65 – $156.00 |