Biopsy skin incisional single lesion at AdventHealth New Smyrna Beach
401 Palmetto St, New Smyrna Beach, FL · AdventHealth · · NPI 1871977942
$1,695.43
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.
$1,695.43
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.
$733.21 with Florida Health Care Plan vs $1,685.99 with Oscar — 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 |
|---|---|---|---|
| Florida Health Care Plan | Medicare Managed Care Plan | $733.21 | ↓ -57% |
| Careplus | Medicare Managed Care Plan | $771.80 | ↓ -54% |
| Bcbs | Medicare Managed Care Plan | $794.95 | ↓ -53% |
| Unitedhealthcare | Medicare Managed Care | $810.39 | ↓ -52% |
| Simply Healthcare | Medicare Managed Care Plan | $818.11 | ↓ -52% |
| Aetna | Medicare Managed Care Plan | $825.82 | ↓ -51% |
| Oscar | Exchange | $1,685.99 | ↓ -1% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,548.00 | $733.21 – $1,288.13 |
| Adventhealth Tampa | Tampa | $2,025.45 | $771.80 – $1,713.39 |
| cleveland clinic florida weston hospital | Weston | $1,491.75 | $36.84 – $1,950.75 |
| martin north hospital | Stuart | $1,491.75 | $50.04 – $1,147.50 |
| indian river hospital | Vero Beach | $1,491.75 | $36.84 – $1,836.00 |
| Baptist Hospital | MIAMI | $1,075.75 | $173.17 – $1,489.50 |
| Bethesda Hospital East | BOYNTON BEACH | $1,075.75 | $273.54 – $1,489.50 |
| Boca Raton Regional Hospital | BOCA RATON | $1,921.40 | $534.60 – $1,485.00 |