_afb org id by sequencing rflx ast-sendout at Adventhealth Palm Coast Parkway
1 Adventhealth Way, Palm Coast, FL · AdventHealth · · NPI 1861102345
$317.96
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.
$317.96
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.
$109.59 with Florida Health Care Plan vs $246.40 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 | $109.59 | ↓ -66% |
| Health First Health Plans | Medicare Managed Care - HMO | $115.36 | ↓ -64% |
| Freedom Health | Medicare Managed Care - HMO | $117.67 | ↓ -63% |
| BCBS | Medicare Managed Care - HMO | $118.82 | ↓ -63% |
| Humana | CarePlus Medicare Managed Care - HMO | $119.97 | ↓ -62% |
| Optimum Healthcare | Medicare Managed Care - HMO | $121.13 | ↓ -62% |
| Simply Healthcare | Medicare Managed Care - HMO | $122.28 | ↓ -62% |
| Aetna | Medicare Managed Care - HMO/PPO | $123.44 | ↓ -61% |
| Oscar | Individual EPO | $246.40 | ↓ -23% |
Visitor-reported prices
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_afb org id by sequencing rflx ast-sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast | $317.96 | $109.59 – $246.40 |
| Adventhealth Daytona Beach | Daytona Beach | $317.96 | $109.59 – $192.54 |
| Adventhealth Lake Wales | Lake Wales | $381.55 | $115.36 – $256.10 |
| Adventhealth Tampa | Tampa | $1,780.58 | $115.36 – $256.10 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $295.94 | $109.59 – $252.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $76.00 | $92.29 – $224.51 |
| Adventhealth Port Charlotte | Port Charlotte | $770.20 | $115.36 – $210.65 |
| cleveland clinic florida weston hospital | Weston | $556.40 | $92.55 – $727.60 |