Inj, adalimumab, 1 mg at HCA FLORIDA PALMS WEST HOSPITAL
13001 SOUTHERN BLVD, LOXAHATCHEE, FL · HCA Florida Healthcare · · NPI 1528014669
$4,763.00
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.
$4,763.00
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.
$269.25 with United vs $5,715.60 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 |
|---|---|---|---|
| United | AllPayerAppendix | $269.25 | ↓ -94% |
| Aetna | MCR | $328.65 | ↓ -93% |
| BCBS | MCRHMO | $347.70 | ↓ -93% |
| Optimum | MGMCR | $409.62 | ↓ -91% |
| Freedom Health | MGMCR | $409.62 | ↓ -91% |
| BCBS | MBN | $476.30 | ↓ -90% |
| Healthy Palm Beaches | COMM | $550.00 | ↓ -88% |
| BCBS | SBN | $595.38 | ↓ -87% |
| BCBS | HMO | $595.38 | ↓ -87% |
| Simply Healthcare Plans | MGMCR | $619.19 | ↓ -87% |
| Freedom Health | MGMCD | $762.08 | ↓ -84% |
| BCBS | PPO | $776.37 | ↓ -84% |
| BCBS | NWB | $776.37 | ↓ -84% |
| BCBS | PHS | $1,076.44 | ↓ -77% |
| BCBS | BSLNON-PAR | $1,076.44 | ↓ -77% |
| MMM of FL (Health Advantage Plan) | MCR | $1,095.49 | ↓ -77% |
| United PPO | OptionsPPO | $1,128.83 | ↓ -76% |
| Aetna | ASA | $1,428.90 | ↓ -70% |
| United | GlobalBenefitPlanAppendix | $2,143.35 | ↓ -55% |
| Plotkin Health | COMM | $2,381.50 | ↓ -50% |
| Health Care District | COMM | $2,381.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $2,381.50 | ↓ -50% |
| Palm Beach Juvenile Correction | GVT | $2,381.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $2,381.50 | ↓ -50% |
| Medica HealthCare | MCR | $2,762.54 | ↓ -42% |
| Multiplan | COMMPPOPRIMARYNETWORK | $3,572.25 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $4,048.55 | ↓ -15% |
| AIDS Healthcare | MGMCD | $5,715.60 | ↑ +20% |
| 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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Inj, adalimumab, 1 mg at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $4,664.00 | $269.25 – $269.25 |
| cleveland clinic florida weston hospital | Weston | $19,998.76 | $74.00 – $9,807.05 |
| martin north hospital | Stuart | $19,998.76 | $77.89 – $8,653.28 |
| indian river hospital | Vero Beach | $19,998.76 | $74.00 – $9,230.16 |
| Baptist Hospital | MIAMI | $701.35 | $186.67 – $971.10 |
| Bethesda Hospital East | BOYNTON BEACH | $701.35 | $216.88 – $971.10 |
| Doctors Hospital | CORAL GABLES | $701.35 | $188.83 – $971.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $701.35 | $187.75 – $971.10 |