Echo exam of fetal heart 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.
$372.49 with Aetna vs $1,218.77 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 |
|---|---|---|---|
| Aetna | QHP Exchange | $372.49 | — |
| Cigna | Surefit EPO | $433.86 | — |
| Florida Health Care Plan | Medicare Managed Care - HMO | $542.08 | — |
| Aetna | HMO/PPO | $563.44 | — |
| Health First Health Plans | Medicare Managed Care - HMO | $570.61 | — |
| Freedom Health | Medicare Managed Care - HMO | $582.02 | — |
| BCBS | Medicare Managed Care - HMO | $587.73 | — |
| Humana | CarePlus Medicare Managed Care - HMO | $593.43 | — |
| Allegiance | CastCare Disney HMO | $598.58 | — |
| Cigna | HMO/PPO | $598.58 | — |
| Cigna | County of Volusia HMO Employee | $598.58 | — |
| Optimum Healthcare | Medicare Managed Care - HMO | $599.14 | — |
| Simply Healthcare | Medicare Managed Care - HMO | $604.85 | — |
| Aetna | Medicare Managed Care - HMO/PPO | $610.55 | — |
| UnitedHealthCare | HMO/PPO | $1,216.73 | — |
| UnitedHealthCare | Compass Exchange | $1,216.73 | — |
| UnitedHealthCare | NEXUS HMO | $1,216.73 | — |
| UnitedHealthCare | Neighborhood Health Partnership (NHP) HMO | $1,216.73 | — |
| Oscar | Individual EPO | $1,218.77 | — |
Visitor-reported prices
Comments
Echo exam of fetal heart at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast | not published | $372.49 – $1,218.77 |
| Adventhealth Tampa | Tampa | $5,928.41 | $334.77 – $1,266.75 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $3,115.00 | $599.15 – $1,086.50 |
| Adventhealth Port Charlotte | Port Charlotte | $1,425.75 | $349.85 – $1,041.93 |
| cleveland clinic florida weston hospital | Weston | $3,508.05 | $59.68 – $4,019.65 |
| martin north hospital | Stuart | $3,508.05 | $61.53 – $2,364.50 |
| indian river hospital | Vero Beach | $3,073.85 | $59.68 – $3,783.20 |
| Baptist Hospital | MIAMI | $1,569.10 | $63.37 – $2,172.60 |