Fragmenting of kidney stone 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.
$1,010.15 with CorVel Corporation vs $15,523.00 with AvMed — 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $1,010.15 | — |
| CareWorks (Rockport) | WORKERSCOMP | $1,031.42 | — |
| Prime Health | WORKERSCOMP | $1,031.42 | — |
| Molina | HIX | $2,702.00 | — |
| Health Sun Health Plan | MGMCR | $3,600.00 | — |
| MMM of FL (Health Advantage Plan) | MCR | $3,750.00 | — |
| Freedom Health | MGMCR | $4,200.00 | — |
| Simply Healthcare Plans | MGMCR | $4,200.00 | — |
| Optimum | 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 | — |
| BCBS | MBN | $7,709.00 | — |
| Humana | HMO | $8,919.00 | — |
| BCBS | SBN | $9,715.00 | — |
| BCBS | HMO | $9,715.00 | — |
| BCBS | NWB | $9,791.00 | — |
| BCBS | PPO | $9,791.00 | — |
| Humana | PPO | $10,700.00 | — |
| BCBS | PHS | $11,253.00 | — |
| BCBS | BSLNON-PAR | $11,253.00 | — |
| Aetna | QHP | $11,990.00 | — |
| 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 | Focus | $13,986.00 | — |
| AvMed | Select | $13,986.00 | — |
| AvMed | Empower | $13,986.00 | — |
| AvMed | FullyInsured | $14,133.00 | — |
| United | AllPayerAppendix | $14,140.00 | — |
| Aetna | HMO | $14,640.00 | — |
| AvMed | ASOEO | $15,523.00 | — |
| AIDS Healthcare | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $36,427.82 | $3,497.01 – $6,143.69 |
| Adventhealth Lake Wales | Lake Wales | $37,661.94 | $3,681.06 – $8,171.96 |
| Adventhealth Palm Coast Parkway | Palm Coast | $33,382.98 | $3,497.01 – $7,862.38 |
| Adventhealth Tampa | Tampa | $38,036.00 | $3,681.06 – $8,171.96 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $24,987.27 | $3,497.01 – $8,041.28 |
| Adventhealth Port Charlotte | Port Charlotte | $39,444.17 | $3,681.06 – $6,721.62 |
| cleveland clinic florida weston hospital | Weston | $2,540.20 | $331.09 – $4,049.17 |
| martin north hospital | Stuart | $12,890.15 | $438.27 – $9,915.50 |