Control nose/throat bleeding w/pst nsl packs 42970 at Adventhealth Palm Coast Parkway
1 Adventhealth Way, Palm Coast, FL · AdventHealth · · NPI 1861102345
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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$234.97 with Florida Health Care Plan vs $528.29 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 | $234.97 | — |
| Health First Health Plans | Medicare Managed Care - HMO | $247.34 | — |
| Freedom Health | Medicare Managed Care - HMO | $252.28 | — |
| BCBS | Medicare Managed Care - HMO | $254.76 | — |
| Humana | CarePlus Medicare Managed Care - HMO | $257.23 | — |
| Optimum Healthcare | Medicare Managed Care - HMO | $259.70 | — |
| Simply Healthcare | Medicare Managed Care - HMO | $262.18 | — |
| Aetna | Medicare Managed Care - HMO/PPO | $264.65 | — |
| Oscar | Individual EPO | $528.29 | — |
Visitor-reported prices
Comments
Control nose/throat bleeding w/pst nsl packs 42970 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $867.75 | $112.01 – $1,595.00 |
| martin north hospital | Stuart | $867.75 | $117.91 – $1,001.25 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $247.34 – $451.64 |
| indian river hospital | Vero Beach | not published | $112.01 – $272.07 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $223.78 – $477.85 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $233.10 – $431.24 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | not published | $249.65 – $461.85 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | not published | $233.10 – $431.24 |