Abdominal paracentesis w/image guidance at Adventhealth Palm Coast Parkway
1 Adventhealth Way, Palm Coast, FL · AdventHealth · · NPI 1861102345
$1,897.11
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.
$1,897.11
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.
$899.79 with Florida Health Care Plan vs $2,023.01 with Oscar — 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 |
|---|---|---|---|
| Florida Health Care Plan | Medicare Managed Care - HMO | $899.79 | ↓ -53% |
| Health First Health Plans | Medicare Managed Care - HMO | $947.15 | ↓ -50% |
| Freedom Health | Medicare Managed Care - HMO | $966.09 | ↓ -49% |
| BCBS | Medicare Managed Care - HMO | $975.56 | ↓ -49% |
| Humana | CarePlus Medicare Managed Care - HMO | $985.03 | ↓ -48% |
| Optimum Healthcare | Medicare Managed Care - HMO | $994.50 | ↓ -48% |
| Simply Healthcare | Medicare Managed Care - HMO | $1,003.97 | ↓ -47% |
| Aetna | Medicare Managed Care - HMO/PPO | $1,013.45 | ↓ -47% |
| Oscar | Individual EPO | $2,023.01 | ↑ +7% |
Visitor-reported prices
Comments
Abdominal paracentesis w/image guidance at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast | $1,897.11 | $899.79 – $2,023.01 |
| Adventhealth Daytona Beach | Daytona Beach | $1,459.67 | $899.79 – $1,580.79 |
| Adventhealth Lake Wales | Lake Wales | $2,399.01 | $947.15 – $2,102.66 |
| Adventhealth Tampa | Tampa | $2,798.84 | $947.15 – $2,102.66 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,807.48 | $899.79 – $2,069.04 |
| Adventhealth Port Charlotte | Port Charlotte | $3,531.68 | $947.15 – $1,729.49 |
| cleveland clinic florida weston hospital | Weston | $3,504.15 | $84.22 – $4,582.35 |
| martin north hospital | Stuart | $3,504.15 | $82.68 – $2,695.50 |