Ot re-evaluation patient/family at HCA FLORIDA PALMS WEST HOSPITAL
13001 SOUTHERN BLVD, LOXAHATCHEE, FL · HCA Florida Healthcare · · NPI 1528014669
$681.00
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.
?
What you pay up front if you don't use insurance.
$681.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$58.57 with Optimum vs $817.20 with AIDS Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Optimum | MGMCR | $58.57 | ↓ -91% |
| Freedom Health | MGMCR | $58.57 | ↓ -91% |
| HUMANA | MGMCRHMO | $60.30 | ↓ -91% |
| HUMANA | MGMCRPPO | $60.30 | ↓ -91% |
| CarePlus SFL | MGMCR | $60.91 | ↓ -91% |
| United | GVT | $60.91 | ↓ -91% |
| Wellmed | MGMCR | $60.91 | ↓ -91% |
| Veterans Evaluation Services | MCR | $60.91 | ↓ -91% |
| NDMS Definitive Care | MGMCR | $60.91 | ↓ -91% |
| Devoted Health | MCR | $60.91 | ↓ -91% |
| BCBS | MCRPPO | $62.12 | ↓ -91% |
| BCBS | MCRHMO | $62.12 | ↓ -91% |
| United | MCR | $62.12 | ↓ -91% |
| Aetna | MCR | $62.73 | ↓ -91% |
| Sunshine State | MCR | $63.95 | ↓ -91% |
| Prominence HealthFirst | MCRHMO | $63.95 | ↓ -91% |
| Oscar | MCR | $63.95 | ↓ -91% |
| American Health Plan | MCR | $64.56 | ↓ -91% |
| Align | MCR | $65.17 | ↓ -90% |
| Florida Complete Care | MCR | $65.17 | ↓ -90% |
| Cigna HealthSpring | MGMCR | $65.17 | ↓ -90% |
| Doctors Healthcare Plan | MCR | $67.00 | ↓ -90% |
| Centurion | GVT | $67.00 | ↓ -90% |
| Sunshine State | MCD | $67.00 | ↓ -90% |
| Humana | TRICR | $68.10 | ↓ -90% |
| Gold Kidney | MCR | $68.21 | ↓ -90% |
| CorVel Corporation | WORKERSCOMP | $68.40 | ↓ -90% |
| CareWorks (Rockport) | WORKERSCOMP | $69.84 | ↓ -90% |
| Prime Health | WORKERSCOMP | $69.84 | ↓ -90% |
| Longevity Health Plan | MCR | $73.09 | ↓ -89% |
| AmeriHealth Caritas | MGMCR | $73.09 | ↓ -89% |
| Solis Health Plan | MCR | $88.31 | ↓ -87% |
| AvMed | HIX | $88.53 | ↓ -87% |
| Simply Healthcare Plans | MGMCR | $88.53 | ↓ -87% |
| Simply Healthcare | HIX | $91.94 | ↓ -86% |
| Oscar | HIX | $108.96 | ↓ -84% |
| Freedom Health | MGMCD | $108.96 | ↓ -84% |
| AmeriHealth Caritas | HIX | $115.77 | ↓ -83% |
| Molina | MCR | $129.39 | ↓ -81% |
| Cigna | HMO | $143.01 | ↓ -79% |
| AvMed | FullyInsured | $143.01 | ↓ -79% |
| Humana | HMO | $143.01 | ↓ -79% |
| Cigna | PPO | $143.01 | ↓ -79% |
| Health Sun Health Plan | MGMCR | $145.05 | ↓ -79% |
| AvMed | Empower | $149.82 | ↓ -78% |
| AvMed | Engage | $149.82 | ↓ -78% |
| AvMed | Flex | $149.82 | ↓ -78% |
| AvMed | Focus | $149.82 | ↓ -78% |
| AvMed | Select | $149.82 | ↓ -78% |
| AIDS Healthcare | MGMCR | $149.82 | ↓ -78% |
| MMM of FL (Health Advantage Plan) | MCR | $156.63 | ↓ -77% |
| United PPO | OptionsPPO | $161.40 | ↓ -76% |
| AvMed | ASOEO | $163.44 | ↓ -76% |
| Sunshine State Health Plan | QHP | $177.06 | ↓ -74% |
| Molina | HIX | $183.87 | ↓ -73% |
| Aetna | ASA | $204.30 | ↓ -70% |
| Humana | PPO | $231.54 | ↓ -66% |
| United | GlobalBenefitPlanAppendix | $306.45 | ↓ -55% |
| Palm Beach Juvenile Correction | GVT | $340.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $340.50 | ↓ -50% |
| Plotkin Health | COMM | $340.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $340.50 | ↓ -50% |
| Health Care District | COMM | $340.50 | ↓ -50% |
| Medica HealthCare | MCR | $394.98 | ↓ -42% |
| Multiplan | COMMPPOPRIMARYNETWORK | $510.75 | ↓ -25% |
| Healthy Palm Beaches | COMM | $550.00 | ↓ -19% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $578.85 | ↓ -15% |
| AIDS Healthcare | MGMCD | $817.20 | ↑ +20% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $241.42 | $65.75 – $115.51 |
| Adventhealth Lake Wales | Lake Wales | $444.81 | $69.21 – $153.65 |
| Adventhealth Palm Coast Parkway | Palm Coast | $262.48 | not published |
| Adventhealth Tampa | Tampa | $367.84 | $69.21 – $153.65 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $235.00 | $65.75 – $151.19 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $677.00 | $47.20 – $70.80 |
| Adventhealth Port Charlotte | Port Charlotte | $333.59 | not published |
| cleveland clinic florida weston hospital | Weston | $311.35 | $44.12 – $407.15 |