Cystouretero w/lithotripsy 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.
$2,702.00 with Molina vs $18,507.00 with BCBS — 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 |
|---|---|---|---|
| Molina | HIX | $2,702.00 | — |
| CorVel Corporation | WORKERSCOMP | $3,369.20 | — |
| Prime Health | WORKERSCOMP | $3,440.13 | — |
| CareWorks (Rockport) | WORKERSCOMP | $3,440.13 | — |
| Health Sun Health Plan | MGMCR | $3,600.00 | — |
| MMM of FL (Health Advantage Plan) | MCR | $3,750.00 | — |
| AIDS Healthcare | MGMCR | $3,950.00 | — |
| Optimum | MGMCR | $4,200.00 | — |
| Simply Healthcare Plans | MGMCR | $4,200.00 | — |
| Freedom Health | MGMCR | $4,200.00 | — |
| Molina | MCR | $4,500.00 | — |
| Medica HealthCare | MCR | $4,800.00 | — |
| Simply Healthcare | HIX | $6,927.00 | — |
| AvMed | HIX | $7,255.00 | — |
| AmeriHealth Caritas | HIX | $7,501.00 | — |
| Oscar | HIX | $7,666.00 | — |
| Humana | HMO | $8,919.00 | — |
| Humana | PPO | $10,700.00 | — |
| Aetna | QHP | $11,990.00 | — |
| United | AllPayerAppendix | $12,120.00 | — |
| BCBS | MBN | $13,571.00 | — |
| Aetna | PPO | $13,726.00 | — |
| Cigna | PPO | $13,966.00 | — |
| Cigna | HMO | $13,966.00 | — |
| AvMed | Engage | $13,986.00 | — |
| AvMed | Flex | $13,986.00 | — |
| AvMed | Empower | $13,986.00 | — |
| AvMed | Select | $13,986.00 | — |
| AvMed | Focus | $13,986.00 | — |
| AvMed | FullyInsured | $14,133.00 | — |
| Aetna | HMO | $14,640.00 | — |
| AvMed | ASOEO | $15,523.00 | — |
| BCBS | HMO | $16,818.00 | — |
| BCBS | SBN | $16,818.00 | — |
| BCBS | NWB | $17,625.00 | — |
| BCBS | PPO | $17,625.00 | — |
| BCBS | PHS | $18,507.00 | — |
| BCBS | BSLNON-PAR | $18,507.00 | — |
Visitor-reported prices
Comments
Cystouretero w/lithotripsy at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,950.00 | $296.18 – $6,159.13 |
| martin north hospital | Stuart | $1,950.00 | $296.18 – $6,159.13 |
| indian river hospital | Vero Beach | $1,950.00 | $296.18 – $6,159.13 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,319.25 – $9,345.08 |
| Adventhealth Lake Wales | Lake Wales | not published | $5,599.21 – $12,430.25 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $5,319.25 – $11,959.36 |
| Adventhealth Tampa | Tampa | not published | $758.00 – $12,430.25 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $5,319.25 – $12,231.48 |