Screening Mammogram 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$86.98 with Humana vs $1,730.40 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 |
|---|---|---|---|
| Humana | TRICR | $86.98 | — |
| HUMANA | MGMCRPPO | $91.71 | — |
| HUMANA | MGMCRHMO | $91.71 | — |
| United | GVT | $92.64 | — |
| CarePlus SFL | MGMCR | $92.64 | — |
| Devoted Health | MCR | $92.64 | — |
| NDMS Definitive Care | MGMCR | $92.64 | — |
| Wellmed | MGMCR | $92.64 | — |
| Veterans Evaluation Services | MCR | $92.64 | — |
| BCBS | MCRPPO | $94.49 | — |
| United | MCR | $94.49 | — |
| BCBS | MCRHMO | $94.49 | — |
| Aetna | MCR | $95.42 | — |
| Prominence HealthFirst | MCRHMO | $97.27 | — |
| Sunshine State | MCR | $97.27 | — |
| Oscar | MCR | $97.27 | — |
| American Health Plan | MCR | $98.20 | — |
| Align | MCR | $99.12 | — |
| Florida Complete Care | MCR | $99.12 | — |
| Cigna HealthSpring | MGMCR | $99.12 | — |
| Sunshine State | MCD | $101.90 | — |
| Doctors Healthcare Plan | MCR | $101.90 | — |
| Centurion | GVT | $101.90 | — |
| Gold Kidney | MCR | $103.76 | — |
| AmeriHealth Caritas | MGMCR | $111.17 | — |
| Longevity Health Plan | MCR | $111.17 | — |
| Optimum | MGMCR | $124.01 | — |
| Freedom Health | MGMCR | $124.01 | — |
| Solis Health Plan | MCR | $134.33 | — |
| Simply Healthcare Plans | MGMCR | $187.46 | — |
| AvMed | HIX | $187.46 | — |
| United | AllPayerAppendix | $217.46 | — |
| Freedom Health | MGMCD | $230.72 | — |
| Molina | MCR | $273.98 | — |
| Humana | HMO | $302.82 | — |
| AvMed | FullyInsured | $302.82 | — |
| Health Sun Health Plan | MGMCR | $307.15 | — |
| AvMed | Flex | $317.24 | — |
| AIDS Healthcare | MGMCR | $317.24 | — |
| AvMed | Select | $317.24 | — |
| AvMed | Empower | $317.24 | — |
| AvMed | Engage | $317.24 | — |
| AvMed | Focus | $317.24 | — |
| MMM of FL (Health Advantage Plan) | MCR | $331.66 | — |
| United PPO | OptionsPPO | $341.75 | — |
| AvMed | ASOEO | $346.08 | — |
| Sunshine State Health Plan | QHP | $374.92 | — |
| Molina | HIX | $389.34 | — |
| Aetna | ASA | $432.60 | — |
| Humana | PPO | $490.28 | — |
| Healthy Palm Beaches | COMM | $550.00 | — |
| United | GlobalBenefitPlanAppendix | $648.90 | — |
| Health Care District | COMM | $721.00 | — |
| Prime Health Sherriff | COMM | $721.00 | — |
| Palm Beach Juvenile Correction | GVT | $721.00 | — |
| Plotkin Health | COMM | $721.00 | — |
| AvMed | JacksonFirstNetworkOON | $721.00 | — |
| Medica HealthCare | MCR | $836.36 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,081.50 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,225.70 | — |
| AIDS Healthcare | MGMCD | $1,730.40 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Screening Mammogram at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $496.13 | $82.99 – $168.30 |
| Adventhealth Lake Wales | Lake Wales | $1,448.74 | $87.36 – $213.19 |
| Adventhealth Palm Coast Parkway | Palm Coast | $452.08 | $82.99 – $253.80 |
| Adventhealth Tampa | Tampa | $525.15 | $87.36 – $193.94 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $435.29 | $82.99 – $190.84 |
| Adventhealth Port Charlotte | Port Charlotte | $933.81 | $87.36 – $159.52 |
| cleveland clinic florida weston hospital | Weston | $692.25 | $27.88 – $646.85 |
| martin north hospital | Stuart | $637.00 | $29.35 – $380.50 |